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传统接生员培训对孕产妇保健的影响:一项基于社区的研究。

Impact of Training of Traditional Birth Attendants on Maternal Health Care: A Community-based Study.

作者信息

Satishchandra D M, Naik V A, Wantamutte A S, Mallapur M D, Sangolli H N

机构信息

Department of Community Medicine, Jawaharlal Nehru Medical College, Belgaum, Karnataka India ; Sri Shanta Nilaya, Near SBM, Hirekalmatt Road, Davangere, Honnali, 577217 Karnataka India.

Department of Community Medicine, Jawaharlal Nehru Medical College, Belgaum, Karnataka India.

出版信息

J Obstet Gynaecol India. 2013 Dec;63(6):383-7. doi: 10.1007/s13224-013-0457-4. Epub 2013 Aug 13.

Abstract

OBJECTIVE

To study the impact of Training of Traditional Birth Attendants (TBAs) on maternal health care in a rural area.

METHODS

An interventional study in the Primary Health Center area was conducted over 1-year period between March 2006 and February 2007, which included all the 50 Traditional Birth Attendants (30 previously trained and 20 untrained), as study participants. Pretest evaluation regarding knowledge, attitude, and practices about maternal care was done. Post-test evaluation was done at the first month (early) and at the fifth month (late) after the training. Analysis was done by using Mc. Nemer's test, Chi-square test with Yates's correction and Fischer's exact test.

RESULTS

Early and late post-test evaluation showed that there was a progressive improvement in the maternal health care provided by both the groups. Significant reduction in the maternal and perinatal deaths among the deliveries conducted by TBAs after the training was noted.

CONCLUSION

Training programme for TBAs with regular follow-ups in the resource-poor setting will not only improve the quality of maternal care but also reduce perinatal deaths.

摘要

目的

研究传统助产士培训对农村地区孕产妇保健的影响。

方法

2006年3月至2007年2月期间,在初级卫生保健中心区域进行了一项为期1年的干预性研究,研究对象包括所有50名传统助产士(30名曾接受过培训,20名未接受过培训)。对孕产妇护理的知识、态度和实践进行了预测试评估。在培训后的第一个月(早期)和第五个月(后期)进行了后测试评估。采用麦克内马尔检验、校正Yates的卡方检验和费舍尔精确检验进行分析。

结果

早期和后期的后测试评估表明,两组提供的孕产妇保健均有逐步改善。培训后,传统助产士接生的孕产妇和围产儿死亡人数显著减少。

结论

在资源匮乏地区为传统助产士提供培训并定期进行随访,不仅能提高孕产妇护理质量,还能减少围产儿死亡。

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