Oosterbaan M M
World Health Organization, Guinea-Bissau.
World Health Stat Q. 1995;48(1):34-8.
With more than 40% of all female deaths attributable to pregnancy, delivery, and the puerperium period, the study established a maternal mortality ratio of 914 deaths per 100,000 live births. The principal risk factors for dying from pregnancy-related causes are: no attendance at antenatal care, too great a distance between the home and the nearest hospital facility, home delivery, belonging to specific ethnic/religious groups, and delivery assistance from family members and TBAs. The health policy implications to improve this situation are: increased coverage with appropriate services, increased numbers of rural midwives, in-service training of existing staff in maternity issues and problems, culture-specific educational approaches using the existing value system, educational campaigns to discourage harmful practices and behaviour, continued educational efforts to upgrade the knowledge of TBAs, and a culturally sensitive integration of TBAs into the government programmes.
在所有女性死亡中，超过40% 归因于妊娠、分娩和产褥期，该研究确定孕产妇死亡率为每10万例活产中有914例死亡。与妊娠相关原因死亡的主要风险因素包括：未接受产前护理、家与最近医院设施距离过远、在家分娩、属于特定族裔/宗教群体以及由家庭成员和传统接生员提供分娩协助。改善这种情况的卫生政策意义在于：增加适当服务的覆盖范围、增加农村助产士数量、对现有工作人员进行孕产妇问题在职培训、利用现有价值体系采用针对特定文化的教育方法、开展教育运动以劝阻有害做法和行为、持续开展教育工作以提升传统接生员的知识水平，以及以文化敏感方式将传统接生员纳入政府项目。
