Improving perinatal outcomes in a rural hospital.-临床诊疗知识库

Improving perinatal outcomes in a rural hospital.

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作者：

D, Wilkinson；D, Biyela

来源：

Nursing RSA = Verpleging RSA 1994 年 9卷 2期

标签：

Africa Africa South Of The Sahara Child Survival Community Health Services Decentralization Delivery Of Health Care Demographic Factors Developing Countries Education English Speaking Africa Fetal Death Health Health Facilities Health Personnel Health Services Hospitals Infant Mortality Length Of Life Midwives Mortality Organization And Administration Population Population Characteristics Population Dynamics Pregnancy Pregnancy Outcomes Primary Health Care Program Evaluation Programs Reproduction Reproductive Health--women Rural Population South Africa Southern Africa Survivorship Training Programs

An evaluation of perinatal outcomes at South Africa's McCords Hospital, the site of a decentralized education program that trains advanced diploma midwives (ADMs), suggests that this educational innovation has the potential to contribute to the aim of safe motherhood. The site of the evaluation, Hlabisa Hospital in northern KwaZula, Natal, serves 150,000 rural people. Since May 1991, data have been collected on over 10,000 consecutive deliveries. The perinatal mortality rate per 1000 deliveries rose from 26.9 in the May-December 1991 period to 39,0 in 1992 and then fell to 29.6 in January-September 1993. However, the percentage of these deaths classified as avoidable dropped from 18.6

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