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首页> 外文期刊>Journal of midwifery & women's health >Frontier nurse-midwives and antepartum emergencies, 1925 to 1939.
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Frontier nurse-midwives and antepartum emergencies, 1925 to 1939.

机译：1925年至1939年，边防护士，助产士和产前紧急情况。

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This article examines how the Frontier Nursing Service (FNS) utilized nurse-midwives to respond to antepartum emergencies such as preterm birth, eclampsia, malpresentation, and hemorrhage in the women of Appalachia in the years 1925 to 1939. Particular attention is given to the preparation that nurse-midwives received during their midwifery education to prevent and respond to emergencies. Using traditional historical research methods and primary source material from the FNS papers in the Special Collections, University of Kentucky Libraries, Lexington, Kentucky, this article describes the nurse-midwives' experiences and how they implemented skills they had learned during their training in Great Britain. Working in the isolated mountainous area of Leslie County, Kentucky-for the most part without direct assistance from physicians-FNS nurse-midwives decreased maternal and neonatal mortality rates. During their first 2000 births, they had only 2 maternal deaths, whereas the national average maternal mortality rate was approximately 7 deaths per 1000 births. The nurse-midwives performed external cephalic versions on a routine basis. For pregnancy and birth emergencies, they administered sedation, gave general anesthesia, and performed invasive lifesaving techniques in order to protect the lives of the women in their care. During these 14 years, their cross-cultural engagement, assessment skills, clinical judgment, and timely interventions improved maternal and child health throughout the region.
机译：本文研究了1925年至1939年间阿巴拉契亚妇女在边境护理处（FNS）如何利用助产士来应对产前紧急情况，例如早产，子痫，畸形和出血。特别注意准备工作助产士在助产士教育中接受的预防和应对紧急情况的服务。本文使用传统的历史研究方法和肯塔基州列克星敦市肯塔基大学图书馆特别收录的FNS论文的主要原始资料，介绍了护士助产士的经历以及他们如何运用在英国接受培训期间学到的技能。在肯塔基州莱斯利县偏远的山区工作-在没有医生直接协助的情况下-FNS护士-助产士降低了孕产妇和新生儿的死亡率。在他们最初的2000年出生中，他们只有2例孕产妇死亡，而全国平均孕产妇死亡率约为每1000胎7例死亡。护士助产士定期进行头颅外翻。对于怀孕和分娩紧急情况，他们进行镇静，全身麻醉和侵入性救生技术，以保护被照料妇女的生命。在这14年中，他们的跨文化参与，评估技能，临床判断和及时干预改善了整个地区的母婴健康。

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