Tsegaye Ademe, Somigliana Edgardo, Alemayehu Tadesse, Calia Federico, Maroli Massimo, Barban Paola, Manenti Fabio, Putoto Giovanni, Accorsi Sandro
Doctors with Africa CUAMM, Padua, Italy; Wolisso County hospital, Wolisso District, Oromia region, Ethiopia.
Department of Obstetrics and Gynecology, Fondazione Ca' Granda, Ospedale Maggiore Policlinico, Milan, Italy.
Int J Gynaecol Obstet. 2016 Jun;133(3):316-9. doi: 10.1016/j.ijgo.2015.11.012. Epub 2016 Feb 22.
To evaluate the functionality of an ambulance service dedicated to emergency obstetric care (EmOC) that referred pregnant women to health centers for delivery assistance or to a hospital for the management of obstetric complications.
A retrospective study investigated an ambulance referral system for EmOC in a rural area of Ethiopia between July 1 and December 31, 2013. The service was available 24h a day and was free of charge. Women requesting referral were transported to nearby health centers. Assistance was provided locally for uncomplicated deliveries. Women with obstetric complications were referred from health centers to a hospital.
A total of 528 ambulance referrals were recorded. The majority of patients (314 [59.5%]) were transported from villages to health centers. The remaining individuals were brought to a hospital, having been referred from health centers (179 [33.9%]) or were referred directly from villages owing to hospital proximity (35 [6.6%]). Of the 179 patients referred to the hospital from health centers, 84 (46.9%) were diagnosed with major direct obstetric complications. No maternal deaths were recorded among patients using the ambulance service. The cost of the ambulance service was US$ 18.47 per referred patient.
An ambulance service dedicated to EmOC that interconnected health centers and a hospital facilitated referrals and better utilized local resources.
评估专门用于紧急产科护理（EmOC）的救护车服务功能，该服务将孕妇转诊至健康中心以获得分娩协助，或转诊至医院以处理产科并发症。
一项回顾性研究调查了2013年7月1日至12月31日期间埃塞俄比亚农村地区的EmOC救护车转诊系统。该服务每天24小时提供且免费。请求转诊的妇女被送往附近的健康中心。在当地为无并发症的分娩提供协助。有产科并发症的妇女从健康中心转诊至医院。
共记录了528次救护车转诊。大多数患者（314例[59.5%]）从村庄被转运至健康中心。其余患者被送往医院，其中179例（33.9%）是从健康中心转诊而来，35例（6.6%）因距离医院较近而直接从村庄转诊。在从健康中心转诊至医院的179例患者中，84例（46.9%）被诊断为主要的直接产科并发症。使用救护车服务的患者中未记录到孕产妇死亡。救护车服务的成本为每位转诊患者18.47美元。
专门用于EmOC的救护车服务连接了健康中心和医院，促进了转诊并更好地利用了当地资源。
