未能实施助产导致新生儿和产妇发病率及死亡率上升：专家意见。
Failure to perform assisted deliveries is resulting in an increased neonatal and maternal morbidity and mortality: An expert opinion.
作者信息
Pattinson R C, Vannevel V, Barnard D, Baloyi S, Gebhardt G S, Le Roux K, Moran N, Moodley J
机构信息
South African Medical Research Council/University of Pretoria Maternal and Infant Health Strategies Unit, Department of Obstetrics and Gynaecology, School of Medicine, Faculty of Health Sciences, University of Pretoria, South Africa.
出版信息
S Afr Med J. 2018 Feb 1;108(2):75-78. doi: 10.7196/SAMJ.2017.v108i2.12786.
The need to perform assisted vaginal delivery (AVD) has been regarded as self-evident. In high-income countries, rates of AVD range between 5% and 20% of all births. In South Africa, the rate of AVD is only 1%. This has resulted in increased neonatal morbidity and mortality due to intrapartum asphyxia, and increased maternal morbidity and mortality due to a rise in second-stage caesarean deliveries. In this article, we address the possible causes leading to a decrease in AVD and propose measures to be taken to increase the rates of AVD and subsequently reduce morbidity and mortality.
进行助产阴道分娩（AVD）的必要性一直被认为是不言而喻的。在高收入国家，AVD的发生率占所有分娩的5%至20%。在南非，AVD的发生率仅为1%。这导致了由于产时窒息而增加的新生儿发病率和死亡率，以及由于第二阶段剖宫产率上升而增加的孕产妇发病率和死亡率。在本文中，我们探讨了导致AVD减少的可能原因，并提出了提高AVD发生率并随后降低发病率和死亡率应采取的措施。
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