• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Health policy and planning >Postabortion care in Latin America: policy and service recommendations from a decade of operations research.
【24h】

Postabortion care in Latin America: policy and service recommendations from a decade of operations research.

机译：拉丁美洲的流产后护理：十年运营研究中的政策和服务建议。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Unsafe abortion contributes significantly to maternal mortality and morbidity in Latin America. Postabortion care (PAC) using preferred technologies and a woman-centred approach to treat the complications of unsafe abortion can save women's lives and improve their reproductive health, as well as reduce costs to health systems. This article reviews results from 10 major PAC operations research projects conducted in public sector hospitals in seven Latin American countries, completed and published between 1991 and 2002. The studies show that following relatively modest interventions, the majority of eligible patients were being treated with manual vacuum aspiration (MVA), a method preferred for safety and other reasons over the method conventionally used in the region, sharp curettage (SC). A number of studies showed improvements in contraceptive counselling and services when these were integrated with clinical treatment of abortion complications, resulting in substantial increases in contraceptive acceptance. Finally, data from several studies showed that, in most settings, reorganizing services by moving treatment out of the operating theatre and reclassifying treatment as an ambulatory care procedure substantially reduced the resources used for PAC, as well as the cost and average length of women's stay in the hospital. These studies suggest that comprehensive PAC can and should be available to all women in Latin America. Such efforts should be coupled with work to improve primary prevention, including better contraceptive services to prevent unwanted pregnancy and safe, legal abortion services to reduce the number of clandestine and unsafe abortions.
机译：不安全的流产对拉丁美洲的孕产妇死亡率和发病率有重大贡献。使用首选技术和以妇女为中心的方法来治疗不安全流产并发症的堕胎后护理（PAC）可以挽救妇女的生命并改善她们的生殖健康，并降低卫生系统的成本。本文回顾了在七个拉丁美洲国家的公共部门医院中进行的10个主要PAC运营研究项目的结果，这些项目已于1991年至2002年间完成并发表。研究表明，在进行了相对适度的干预之后，大多数合格的患者都接受了手动真空治疗抽吸（MVA），出于安全和其他原因而比该地区常规使用的方法首选刮除术（SC）。多项研究表明，将这些咨询服务与流产并发症的临床治疗相结合后，避孕咨询和服务得到了改善，导致避孕药具的接受度大大提高。最后，来自多项研究的数据表明，在大多数情况下，通过将治疗移出手术室并将治疗重新分类为非卧床护理程序来重组服务，可大大减少用于PAC的资源以及女性住院的费用和平均时间在医院。这些研究表明，拉丁美洲所有妇女都可以并且应该使用全面的PAC。这些努力应与改善一级预防的工作相结合，包括提供更好的避孕服务以防止意外怀孕以及提供安全，合法的堕胎服务以减少秘密和不安全堕胎的数量。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号