Kurumatani N, Boku C, Matsukura K, Kitauchi S, Sakaguchi R, Kamiya K, Motoyama M, Kataoka M, Miyata H, Yoshioka N
Department of Public Health, Nara Medical University.
Nihon Koshu Eisei Zasshi. 1995 May;42(5):330-7.
Midwives are often exposed to blood during delivery procedures. A study aimed at clarifying actual status of blood contact during midwifery procedures was performed. Observations in a delivery room were conducted to record blood contact events experienced by midwives from the time of episiotomy until 2 hour after expulsion of the placenta. All gloves used by midwives were collected and tested for holes. Blood contact was defined as any contact with blood of a parturition woman as recognized visually by an observer. During a one-month study period data was obtained from a total of 19 midwives (12 midwives and 7 student midwives) who assisted in 8 deliveries. All of the midwives wore gowns with long sleeves, gloves and caps but did not use eye protection or masks. None of the parturient women had Hepatitis B, Hepatitis C or acquired immunodeficiency syndrome. Deliveries caused widespread blood exposure to the midwives throughout the complete course. Protection from most of this exposure was provided by the gowns and gloves. However, direct blood contacts occurred to the fingers, hands or forearms in several midwives. These events were caused by partly because the midwives unintentionally performed procedures without gloves and partly because blood penetrated the gown and soaked to the skin. Direct blood contacts to the foot in two midwives and to the mouth in one also occurred. The overall perforation rate for gloves examined was 4 out of 154 (2.6%). Two gloves were broken during washing sharp instruments contaminated with blood, one was torn when wearing, and the remaining one appeared to have had a hole prior to use.(ABSTRACT TRUNCATED AT 250 WORDS)
助产士在分娩过程中经常接触到血液。一项旨在阐明助产过程中血液接触实际情况的研究开展了。在产房进行观察，记录助产士从会阴切开术时起至胎盘娩出后2小时所经历的血液接触事件。收集助产士使用的所有手套并检测是否有破洞。血液接触被定义为观察者肉眼识别的与分娩女性血液的任何接触。在为期一个月的研究期间，共从19名助产士（12名助产士和7名实习助产士）处获取了数据，他们协助了8例分娩。所有助产士都穿着长袖工作服、戴手套和帽子，但未使用眼部防护用品或口罩。所有产妇均无乙型肝炎、丙型肝炎或获得性免疫缺陷综合征。分娩在整个过程中导致助产士广泛接触血液。工作服和手套提供了对大部分此类接触的防护。然而，有几名助产士的手指、手部或前臂发生了直接血液接触。这些事件部分是因为助产士在无手套的情况下无意中进行操作，部分是因为血液穿透工作服并浸湿到皮肤上。两名助产士的足部和一名助产士的口腔也发生了直接血液接触。所检查手套的总体穿孔率为154只中有4只（2.6%）。两只手套在清洗被血液污染的锐器时破损，一只在佩戴时撕裂，其余一只在使用前似乎就有一个洞。（摘要截选至250字）
