Garner P, Heywood P, Baea M, Lai D, Smith T
Papua New Guinea Institute of Medical Research, Madang, Papua New Guinea.
P N G Med J. 1996 Mar;39(1):6-11.
This cross-sectional study of women was conducted in a deprived area of Papua New Guinea with an estimated infant mortality rate of 133/1000 live births. Mortality patterns derived from birth histories showed that neonatal deaths contribute proportionally more to infant mortality than postneonatal deaths, emphasizing the need for better care at delivery. To examine possible mechanisms for intervention, pregnant women were interviewed to determine patterns of antenatal clinic use, antimalarial drugs and micronutrient supplements given, and how much the women smoked. The results showed that the health system was failing to implement current routine supplementation and prophylaxis regimens, and that there was a need to revise national guidelines. A large proportion of pregnant women smoked during pregnancy, and this behaviour could be a target for future public health campaigns and health worker promotion advice to women.
这项针对女性的横断面研究在巴布亚新几内亚的一个贫困地区开展，该地区估计婴儿死亡率为每1000例活产中有133例死亡。从出生记录得出的死亡模式表明，新生儿死亡对婴儿死亡率的比例贡献高于新生儿期后死亡，这凸显了分娩时提供更好护理的必要性。为了研究可能的干预机制，研究人员对孕妇进行了访谈，以确定产前诊所的就诊模式、所给予的抗疟药物和微量营养素补充剂，以及孕妇的吸烟量。结果显示，卫生系统未能实施当前的常规补充和预防方案，因此有必要修订国家指南。很大一部分孕妇在孕期吸烟，这种行为可成为未来公共卫生运动以及医护人员向女性提供促进健康建议的目标。
