传统接生员在印度德里城市贫困人口家中提供产前和围产期护理中的作用。
Role of traditional birth attendants (TBAs) in provision of antenatal and perinatal care at home amongst the urban poor in Delhi, India.
作者信息
Singh Samiksha, Chhabra Pragti, Sujoy Rachna
机构信息
Department of Community Medicine, University College of Medical Sciences, Delhi, India.
出版信息
Health Care Women Int. 2012;33(7):666-76. doi: 10.1080/07399332.2012.673653.
More than 80% of deliveries amongst the urban poor are conducted at home, mostly by traditional birth attendants (TBAs). In all, 29 eligible TBAs in the study area were identified and interviewed to assess their knowledge and practices regarding antenatal and perinatal care. Their knowledge about complications in antenatal and perinatal period was inadequate. The majority provided inadequate advice to the mothers. Over seventy-nine percent (79.3%) gave injections of oxytocin. Sixteen (55.2%) did not wait or waited for less than 10 minutes for the mother to expel the placenta. Fourteen (48.3%) encountered excessive vaginal bleeding, but none knew how to manage it. Overall knowledge and care provided by the TBAs was poor.
城市贫困人口中超过80%的分娩是在家中进行的，大多由传统助产士接生。研究区域共识别出29名符合条件的传统助产士并对其进行了访谈，以评估她们在产前和围产期护理方面的知识与做法。她们对产前和围产期并发症的了解不足。大多数人给母亲的建议也不充分。超过79.3%的人注射了催产素。16人（55.2%）没有等待或等待母亲排出胎盘的时间不到10分钟。14人（48.3%）遇到过产妇阴道大量出血的情况，但无人知道如何处理。总体而言，传统助产士提供的知识和护理水平较差。
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