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首页> 外文期刊>Journal of obstetrics and gynaecology: the journal of the Institute of Obstetrics and Gynaecology >Determinants of mission house delivery among booked patients in a Nigerian teaching hospital.
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Determinants of mission house delivery among booked patients in a Nigerian teaching hospital.

机译:尼日利亚一家教学医院的已预订患者中传教所交付的决定因素。

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摘要

This study examines the determinants of Mission House Delivery among booked patients in Ile-Ife, Nigeria. During the 12 months of the study (1 May 199930 April 2000) 196 booked patients at Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife who delivered at mission houses were analysed. All ages and parity groups, educational level and social classes were involved. The majority (73%) were of low socio-economic class. The reasons for mission house delivery included financial constraints (41%), fear of possible caesarean section (46%), industrial action by health-care workers (39%), transport difficulty at night (26%), previous deliveries in mission houses (16%) and communal feud (12%). Four maternal deaths occurred (MMR 978/100 000 births) and 20 perinatal deaths (PNMR 118/1000 total births). Reduction of hospital user fees, provision of transportation and efficient telecommunication facilities at all times, conflict resolution and proper remuneration of health care workers are urgent needs to be addressed. Legislation against delivery in unsafe places and establishment of appropriate facilities by churches interested in maternity services is highly recommended.
机译:这项研究调查了尼日利亚伊莱费尔地区已预订患者中传教所交付的决定因素。在研究的12个月中(1999年5月1日至2000年4月30日),分析了在任务分娩时分送的196位患者,这些患者来自奥巴费米·阿沃洛沃大学教学医院综合大楼。所有年龄段和同等年龄的人群,教育程度和社会阶层都参与其中。大多数(73%)属于低社会经济阶层。交付特派团的原因包括财务困难(41%),担心可能进行剖腹产(46%),医护人员采取的工业行动(39%),夜间运输困难(26%),先前在特派团进行分娩(16%)和社区仇恨(12%)。发生了四例产妇死亡(MMR 978/10万出生)和20例围产儿死亡(PNMR 118/1000总出生)。迫切需要解决降低医院使用者费用,随时提供运输和高效的电信设施,解决冲突和适当支付医护人员报酬的问题。强烈建议立法,禁止对产妇服务感兴趣的教会在不安全的地方分娩和建立适当的设施。

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