摘要:

AbstractWorld Health Organization policy for some years has emphasized working through traditional birth attendants as the best path to improving the appalling level of maternal and child mortality and illness in much of the Third World. The universal appropriateness of this strategy has begun to be called into question. Recent research on childbirth in rural Bangladesh, as elsewhere in South Asia, suggests that the concept of the ‘traditional birth attendant’ in the context of this region needs to be reexamined. Thedaitypically have tittle training and low status, due to their close association with the removal of birth pollution. A policy based on converting them into modern health professionals faces serious obstacles. In practice, neither the poorly‐trained villagedainor such biomedically‐trained practitioners as are available at the village level are able to deliver competent health care. Their effectiveness is further compromised by the cultural and material environment within which they operate. A more adequate approach to care for birthing women in the village still has to be developed.

ISSN:0020-6695    

DOI:10.1016/0020-7292(95)02503-5

出版商:Wiley    

年代:2017

数据来源: WILEY

摘要:

AbstractThis analysis is based on detailed interviews with 3600 rural and urban women in southern India. They were younger than 35 and had at least one child less than 5 years of age. Each woman was questioned by a trained female interviewer and asked about problems she had encountered during the last pregnancy. Approximately two‐fifths (41%) reported at least one morbid condition associated with that event. About one‐fifth (18%) had had at least one problem during the antenatal period and delivery and another 23% indicated problems during the postpartum. Surgical interventions were made in 13.1% of all deliveries. However, if we consider only those taking place in hospital, more than one‐third (34.2%) were delivered surgically. The relationship between socioeconomic and demographic factors and reported maternal morbidity has been examined by using multivariate statistical techniques. The policy implications of the study are discussed.

ISSN:0020-6695    

DOI:10.1016/0020-7292(95)02504-6

出版商:Wiley    

年代:2017

数据来源: WILEY

摘要:

AbstractA retrospective analysis of the causes of maternal mortality in two academic hospitals of Dhaka city over a 2‐year period was carried out and compared with national figures. These are the country's chief referral institutions, where only the critically ill are admitted. Currently, the national maternal mortality ratio (MMR) is 5.6/1000 live births, while in Dhaka Medical College Hospital the case fatality ratios (CFR) were 24.4 and 17.2 in 1992 and 1993, respectively. In Mitford Hospital the CFR was 11.1 and 5.4/1000 live births, during the same periods. The most common cause of maternal death at the national level was postpartum hemorrhage and at medical college hospitals it was eclampsia. If we can strengthen emergency obstetric care at all levels, we can reduce maternal mortality bolh at the national level and at the referral hospitals.

ISSN:0020-6695    

DOI:10.1016/0020-7292(95)02505-7

出版商:Wiley    

年代:2017

数据来源: WILEY

摘要:

AbstractFor Safe Motherhood wanted children should be of desired sex. As Y sperm have a shorter life span and migrate faster, if coitus occurs before ovulation, sperm must wait in the tube for the ovum to arrive. By the time the ovum arrives, Y sperm have died and X sperm fertilize the ovum, resulting in a baby girl. If coitus takes place after ovulation when the ovum is waiting in the tube, the faster migrating Y sperm fertilize the ovum resulting in a baby boy. Eighty women wishing to test this hypothesis by basal body temperature and ultrasound were recruited. Correct results have so far been obtained in 97%. This theory can be used for Safe Motherhood, for population control and to eliminate sex‐linked genetic disorders. It can also prevent both female feticide and infanticide in some cultures.

ISSN:0020-6695    

DOI:10.1016/0020-7292(95)02506-8

出版商:Wiley    

年代:2017

数据来源: WILEY

ISSN:0020-6695    

DOI:10.1016/S0020-7292(10)82507-X

出版商:Wiley    

年代:2010

数据来源: WILEY

ISSN:0020-6695    

DOI:10.1016/0020-7292(95)90000-4

出版商:Wiley    

年代:2004

数据来源: WILEY