Kumar R, Singh M M, Kaur A, Kaur M
Department of Community Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh.
J Indian Med Assoc. 1995 Apr;93(4):129-31, 128.
The extent and nature of reproductive health problems, and the actions taken for prevention/management of these problems were studied in rural area of district Ambala, Haryana. Maternal mortality rate was found to be 230/100,000 live births. Only 31% had died in hospitals; 64% cases were not referred. Main reason for non referral was ignorance about the nature of the complication in 54%. In another study done in 4 villages, 61.2% (367/600) married women of 15-44 years reported to be suffering from symptoms suggestive of gynecological disorders. Out of the 228 who had delivered in past 2 years, 103 (45.2%) reported to have suffered from illnesses in the maternity period, 19.3% had a major maternity complication. Government doctors were consulted in 29.2%, private doctors in 43.1%, health auxiliaries in 16% and traditional birth attendants (TBAs) in 11.8% of the episodes. Average cost of treatment was Rs 211 per episode. For management of maternity related complication, 65.8% could identify a proper hospital. For conducting the delivery, 10% preferred doctors, 60.2% nurse-midwife, and 29.3% TBAs. Although 93.8% of the respondents knew about the places where pregnancy can be terminated, but only 13.8% knew that doctors conduct abortion. In view of the lack of proper understanding about the reproductive health problems, health education campaign should be launched so that maternity care facilities being upgraded in the country are utilised. Programmes for prevention and treatment of gynecological morbidity should also be initiated.
在哈里亚纳邦安巴拉区的农村地区，对生殖健康问题的程度和性质以及为预防/管理这些问题所采取的行动进行了研究。发现孕产妇死亡率为每10万例活产230例。只有31%的人在医院死亡；64%的病例未被转诊。未转诊的主要原因是54%的人对并发症的性质一无所知。在另一项对4个村庄进行的研究中，61.2%（367/600）的15至44岁已婚妇女报告有妇科疾病症状。在过去两年分娩的228名妇女中，103名（45.2%）报告在产褥期患病，19.3%有严重的产科并发症。在这些病例中，29.2%咨询了政府医生，43.1%咨询了私人医生，16%咨询了卫生辅助人员，11.8%咨询了传统助产士（TBA）。每次治疗的平均费用为211卢比。对于产科相关并发症的管理，65.8%的人能够确定合适的医院。对于分娩，10%的人更喜欢医生，60.2%的人更喜欢助产士，29.3%的人更喜欢传统助产士。尽管93.8%的受访者知道可以终止妊娠的地方，但只有13.8%的人知道医生进行堕胎。鉴于对生殖健康问题缺乏正确的认识，应开展健康教育活动，以便利用该国正在升级的孕产妇护理设施。还应启动预防和治疗妇科疾病的方案。
