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德兰士瓦省北部莱博瓦地区社区对产科服务的利用情况。

Obstetrics service utilisation by the community in Lebowa, northern Transvaal.

作者信息

Uyirwoth G P, Itsweng M D, Mpai S, Nchabeleng E, Nkoane H

出版信息

East Afr Med J. 1996 Feb;73(2):91-4.

PMID:8756046
Abstract

A cross sectional cluster survey was done in all health wards of Lebowa in May 1992. The study was based on a recall of antenatal, intrapartum and postnatal experience during the last pregnancy of 2940 mothers. Only mothers who delivered within 12 months before the date of interview were included. Antenatal coverage was high at 93.5%, the proportion of health facility deliveries was 74.6% while 26.3% of all births occurred at home. Inaccessibility of maternity services, lack of money, negative staff attitudes and lack of privacy were the common reasons given for preference of home delivery. Mothers who delivered at home were more likely to be of higher parity and unbooked than their counterparts who delivered in a health facility. Postnatal coverage was 50.7% with a 25.4% rate of utilisation of a method of childspacing. The proportion of births attended to by trained personnel needs to be increased.

摘要

1992年5月,在莱博瓦的所有卫生区开展了一项横断面整群调查。该研究基于对2940名母亲上次怀孕期间产前、产时及产后经历的回忆。仅纳入在访谈日期前12个月内分娩的母亲。产前覆盖率较高,为93.5%,在医疗机构分娩的比例为74.6%,而所有分娩中有26.3%在家中进行。获得孕产妇服务不便、缺钱、工作人员态度消极以及缺乏隐私是选择在家分娩的常见原因。与在医疗机构分娩的母亲相比,在家分娩的母亲更有可能是经产妇且未登记。产后覆盖率为50.7%,采用避孕方法的使用率为25.4%。需要提高由经过培训的人员接生的分娩比例。

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