Instituto de Cooperación Social Integrare, Barcelona, Spain.
UN Population Fund, Geneva, Switzerland.
Lancet. 2014 Sep 27;384(9949):1226-35. doi: 10.1016/S0140-6736(14)60930-2. Epub 2014 Jun 22.
In the concluding paper of this Series about midwifery, we look at the policy implications from the framework for quality maternal and newborn care, the potential effect of life-saving interventions that fall within the scope of practice of midwives, and the historic sequence of health system changes that made a reduction in maternal mortality possible in countries that have expanded their midwifery workforce. Achievement of better health outcomes for women and newborn infants is possible, but needs improvements in the quality of reproductive, maternal, and newborn care, alongside necessary increases in universal coverage. In this report, we propose three priority research areas and outline how national investment in midwives and in their work environment, education, regulation, and management can improve quality of care. Midwifery and midwives are crucial to the achievement of national and international goals and targets in reproductive, maternal, newborn, and child health; now and beyond 2015.
在本系列关于助产的最后一篇论文中，我们从孕产妇和新生儿保健质量框架、助产士实践范围内的救生干预措施的潜在影响以及使扩大助产士队伍的国家降低孕产妇死亡率成为可能的卫生系统变革的历史顺序来看待政策含义。为妇女和新生儿实现更好的健康结果是可能的，但需要提高生殖、孕产妇和新生儿护理的质量，同时必须增加普遍覆盖范围。在本报告中，我们提出了三个优先研究领域，并概述了国家对助产士及其工作环境、教育、监管和管理的投资如何能够提高护理质量。助产士和助产士对于实现生殖、孕产妇、新生儿和儿童健康方面的国家和国际目标和指标至关重要；现在和 2015 年之后都是如此。
