在阿根廷布宜诺斯艾利斯省复制乌拉圭模式，作为一项降低与堕胎相关孕产妇死亡率的公共政策。
A replication of the Uruguayan model in the province of Buenos Aires, Argentina, as a public policy for reducing abortion-related maternal mortality.
作者信息
Matía Marisa G, Trumper Eugenia C, Fures Nery Orlando, Orchuela Jimena
机构信息
Ministry of Health of the Province of Buenos Aires, La Plata, Argentina.
Argentine Federation of Societies of Gynecology and Obstetrics (FASGO), Buenos Aires, Argentina.
出版信息
Int J Gynaecol Obstet. 2016 Aug;134 Suppl 1:S31-4. doi: 10.1016/j.ijgo.2016.06.008.
OBJECTIVE
To describe the application of the risk and harm reduction model at primary care level to decrease the mortality due to unsafe abortion in the Province of Buenos Aires, Argentina, and evaluate the results.
METHODS
The services offered at primary health units to women undergoing abortion are described-first, only risk reduction and later, legal termination of the pregnancy-including their evolution between 2010 and 2015. The changes in abortion-related maternal mortality are also evaluated. The χ(2) test was used to evaluate the differences in the percentage of abortion-related deaths out of the total number of maternal deaths.
RESULTS
Primary care services increased progressively, both for risk reduction and for legal termination of pregnancy, which was carried out successfully, including manual vacuum aspiration, by general physicians and midwives. The proportion of abortion-related maternal deaths with respect to total maternal deaths fell by two-thirds between 2010 and 2014 (P<0.001).
CONCLUSION
The Uruguayan risk reduction model was successfully applied in primary care in the Province of Buenos Aires.
目的
描述在阿根廷布宜诺斯艾利斯省初级保健层面应用风险与伤害降低模式以降低不安全堕胎所致死亡率，并评估结果。
方法
描述初级卫生单位为接受堕胎的女性提供的服务——首先是仅降低风险，之后是合法终止妊娠——包括2010年至2015年期间这些服务的发展情况。还评估了与堕胎相关的孕产妇死亡率的变化。采用χ(2)检验评估堕胎相关死亡人数占孕产妇死亡总数百分比的差异。
结果
初级保健服务逐步增加，无论是降低风险服务还是合法终止妊娠服务，后者由全科医生和助产士成功实施，包括手动真空吸引术。2010年至2014年期间，与堕胎相关的孕产妇死亡人数占孕产妇死亡总数的比例下降了三分之二（P<0.001）。
结论
乌拉圭的风险降低模式在布宜诺斯艾利斯省的初级保健中得到了成功应用。
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