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妇女健康掌握在妇女手中:一项评估在坦桑尼亚农村为妇女提供药物以减少产后出血和败血症的可行性的试点研究。

Women's health in women's hands: a pilot study assessing the feasibility of providing women with medications to reduce postpartum hemorrhage and sepsis in rural Tanzania.

作者信息

Webber Gail C, Chirangi Bwire

机构信息

a Department of Family Medicine , University of Ottawa , Ottawa , Ontario , Canada.

出版信息

Health Care Women Int. 2014;35(7-9):758-70. doi: 10.1080/07399332.2014.915843. Epub 2014 Jul 1.

DOI:10.1080/07399332.2014.915843
PMID:24786175
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4160271/
Abstract

In rural Africa, deaths from childbirth are common and access to health care facilities with skilled providers is very limited. Leading causes of death for women are bleeding and infection. In this pilot study, we establish the feasibility of distributing oral medications to women in rural Tanzania to self-administer after delivery to reduce bleeding and infection. Of the 642 women provided with medications, 90% of the women took them appropriately, while the remaining 10% did not require them. We conclude that is it feasible to distribute oral medications to rural women to self-administer after delivery.

摘要

在非洲农村地区,分娩死亡很常见,获得有专业医护人员的医疗保健设施的机会非常有限。妇女死亡的主要原因是出血和感染。在这项试点研究中,我们确定了在坦桑尼亚农村地区向妇女分发口服药物以便她们在分娩后自行服用以减少出血和感染的可行性。在642名获得药物的妇女中,90%的妇女正确服用了药物,而其余10%的妇女不需要服药。我们得出结论,向农村妇女分发口服药物以便她们在分娩后自行服用是可行的。

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Women's health in women's hands: a pilot study assessing the feasibility of providing women with medications to reduce postpartum hemorrhage and sepsis in rural Tanzania.妇女健康掌握在妇女手中:一项评估在坦桑尼亚农村为妇女提供药物以减少产后出血和败血症的可行性的试点研究。
Health Care Women Int. 2014;35(7-9):758-70. doi: 10.1080/07399332.2014.915843. Epub 2014 Jul 1.
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本文引用的文献

1
Misoprostol for postpartum hemorrhage prevention at home birth: an integrative review of global implementation experience to date.米索前列醇预防家庭分娩产后出血:全球实施经验的综合评价。
BMC Pregnancy Childbirth. 2013 Feb 20;13:44. doi: 10.1186/1471-2393-13-44.
2
Helping rural women in Pakistan to prevent postpartum hemorrhage: a quasi experimental study.帮助巴基斯坦农村妇女预防产后出血:一项准实验研究。
BMC Pregnancy Childbirth. 2012 Oct 30;12:120. doi: 10.1186/1471-2393-12-120.
3
Prevention and treatment of postpartum hemorrhage in low-resource settings.资源匮乏地区产后出血的防治
Int J Gynaecol Obstet. 2012 May;117(2):108-18. doi: 10.1016/j.ijgo.2012.03.001.
4
Maternal mortality from hemorrhage.产妇出血导致的死亡率。
Semin Perinatol. 2012 Feb;36(1):48-55. doi: 10.1053/j.semperi.2011.09.010.
5
How many births in sub-Saharan Africa and South Asia will not be attended by a skilled birth attendant between 2011 and 2015?在 2011 年至 2015 年期间,撒哈拉以南非洲和南亚将有多少分娩没有熟练的接生员在场?
BMC Pregnancy Childbirth. 2012 Jan 17;12:4. doi: 10.1186/1471-2393-12-4.
6
Misoprostol for the prevention and treatment of postpartum hemorrhage.米索前列醇预防和治疗产后出血。
Expert Opin Investig Drugs. 2012 Feb;21(2):235-50. doi: 10.1517/13543784.2012.647405. Epub 2012 Jan 11.
7
Reducing maternal mortality: a review of progress and evidence-based strategies to achieve millennium development goal 5.降低孕产妇死亡率:实现千年发展目标5的进展及循证策略综述
Health Care Women Int. 2011 Oct;32(10):901-16. doi: 10.1080/07399332.2011.603867.
8
Oral misoprostol for preventing postpartum haemorrhage in home births in rural Bangladesh: how effective is it?口服米索前列醇预防孟加拉国农村家庭分娩产后出血:它的效果如何?
Glob Health Action. 2011;4. doi: 10.3402/gha.v4i0.7017. Epub 2011 Aug 10.
9
Community-based availability of misoprostol: is it safe?基于社区的米索前列醇可及性:安全吗?
Afr J Reprod Health. 2009 Jun;13(2):117-28.
10
Maternal sepsis: epidemiology, etiology and outcome.产妇脓毒症:流行病学、病因学和结局。
Curr Opin Infect Dis. 2010 Jun;23(3):249-54. doi: 10.1097/QCO.0b013e328339257c.