Mphahlele M
S Afr Med J. 1977 May 7;51(19):680-2.
For the 13 months between 1 May 1975 and 31 May 1976 a prospective study was made in a maternity wing of a hospital in a developing country. Out of 2196 mothers who gave birth, 278 were classified as requiring special care. The rate of caesarean section showed a steep fall, from 30,76% in 1967 to 2,98% in 1976. The rate for the present series was just over 3%. The series has highlighted the challenges the obstetrician has to meet in a developing country. Patients with pre-eclampsia rank high in the admissions, as do patients with a bad obstetric history, Venereal disease is commonly encountered and requires adequate treatment. Lack of adequate medical services is among the important factors responsible for the obstetric difficulties encountered. Lack of communication and transport facilities aggravates the problems of midwives and obstetricians in developing countries. This study shows how a simple plan and hard work by all concerned can achieve commendable results in spite of the overwhelming inadequacies.
在1975年5月1日至1976年5月31日的13个月期间，在一个发展中国家的一家医院的产科病房进行了一项前瞻性研究。在2196名分娩的母亲中，有278名被归类为需要特殊护理。剖宫产率呈急剧下降趋势，从1967年的30.76%降至1976年的2.98%。本系列的比率略高于3%。该系列突出了发展中国家产科医生必须面对的挑战。先兆子痫患者在入院患者中占比很高，产科病史不良的患者也是如此。性病很常见，需要进行充分治疗。缺乏足够的医疗服务是造成所遇到的产科困难的重要因素之一。缺乏通信和交通设施加剧了发展中国家助产士和产科医生的问题。这项研究表明，尽管存在严重不足，但一个简单的计划和所有相关人员的努力工作仍能取得值得称赞的成果。
