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利用助产士主导的护理单元(MLCU)改善印度孕产妇和新生儿健康:一项基于证据的综述。

Utilizing Midwifery-Led Care Units (MLCU) for Enhanced Maternal and Newborn Health in India: An Evidence-Based Review.

作者信息

Podder Lily, Bhardwaj Geeta, Siddiqui Alfisha, Agrawal Rachna, Halder Ajay, Rani Manisha

机构信息

Obstetric and Gynecological Nursing, All India Institute of Medical Sciences, Bhopal, Bhopal, IND.

Obstetrics and Gynecology, Santosh Hospital, New Delhi, IND.

出版信息

Cureus. 2023 Aug 9;15(8):e43214. doi: 10.7759/cureus.43214. eCollection 2023 Aug.

Abstract

The allocation of the midwife-led care unit (MLCU), a midwifery-led care model in which midwives carry out eminent roles to enrich maternal and newborn outcomes with minimal standard interventions, has appeared to be productive in furthering the quality of care and positive childbirth experiences. In the present article, we review the investments needed in MLCUs for their inclusion into the public health system by describing their advantages, the latest trends in maternal mortality, the roles of midwives, the relevant background, and the current advances in midwifery practices in India. Midwifery-led care is directed by a philosophy that considers pregnancy and childbirth as normal physiological events for women. Making use of a midwife, especially in low-risk pregnancies, extends satisfactory and cost-effective care. The Government of India has begun to introduce midwifery services to the country to improve the quality, righteousness, and worthiness in the provision of care and to offload higher-level hospitals. The year 2020 was designated as the "Year of the Nurse and the Midwife" by the WHO, highlighting the importance of nurses' and midwives' roles in sustaining quality health care. Further, the acceptability among clinicians and the public is crucial for the future advancement and implementation of MLCUs in India.

摘要

助产士主导的护理单元(MLCU)是一种由助产士主导的护理模式,在这种模式中,助产士发挥着重要作用,通过最少的标准干预措施来改善孕产妇和新生儿的结局,这似乎对提高护理质量和积极的分娩体验很有成效。在本文中,我们通过描述MLCU的优势、孕产妇死亡率的最新趋势、助产士的角色、相关背景以及印度助产实践的当前进展,来回顾将MLCU纳入公共卫生系统所需的投入。助产士主导的护理遵循一种理念,即认为怀孕和分娩是女性的正常生理事件。利用助产士,特别是在低风险妊娠中,可提供令人满意且具有成本效益的护理。印度政府已开始在该国引入助产服务,以提高护理提供的质量、公正性和价值,并减轻高级别医院的负担。2020年被世界卫生组织指定为“护士和助产士年”,凸显了护士和助产士在维持高质量医疗保健方面的作用的重要性。此外,临床医生和公众的接受度对于MLCU在印度的未来发展和实施至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8608/10488993/8b8f3d989450/cureus-0015-00000043214-i01.jpg

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