在莱索托的一家地区医院查明可避免的围产期死亡原因。

Rose Nonyane, Emmerentia Du Plessis, Jeannette Clase
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引用次数: 0

摘要

背景:某些决定因素可能与可避免的围产期死亡有关: 某些决定因素可能与可避免的围产期死亡有关,需要进行审计以确定这些决定因素是什么,以及可以采取哪些措施来预防此类死亡: 本研究旨在确定和描述与莱索托一家地区医院可避免的围产期死亡相关的决定因素,以及遏制其发生的策略: 利用 2018 年 1 月至 2020 年 12 月期间的 142 份匿名产科记录开展了一项回顾性描述性研究。数据收集工具采用了围产期问题识别计划。在该工具中,可避免的决定因素被称为 "因素 "或 "问题": 结果:有相当数量的围产期死亡是由可避免的患者因素造成的,即就医延迟、对产前出血的反应不当以及对胎动不良的反应不足。医务人员的因素也值得注意,即分型图使用不当、对可避免因素的评论记录不足以及 "其他 "医务人员问题。行政问题中最主要的是重症监护室没有床位和呼吸机,以及复苏设备不足。与患者相关因素和医务人员因素相比,行政问题造成的围产期死亡人数更多: 结论:迫切需要进行定期审核、对患者进行健康教育、提高医务人员的能力以及配备必要的新生儿复苏设备:贡献:可以确定与莱索托一家地区医院围产期死亡相关的可避免因素。通过这些信息,我们可以了解如何限制可避免的围产期死亡。
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Identifying avoidable causes of perinatal deaths in a district hospital in Lesotho.

Background:  Certain determinants can be associated with avoidable perinatal deaths, and audits are needed to establish what these determinants are, and what can be done to prevent such deaths.

Objectives:  The study aimed at identifying and describing determinants associated with avoidable perinatal deaths at a district hospital in Lesotho and strategies to curb their occurrence.

Method:  A retrospective descriptive study was conducted using 142 anonymised obstetric records from January 2018 to December 2020. A data collection tool was adopted from the Perinatal Problem Identification Programme. In this tool, avoidable determinants are referred to as 'factors' or 'problems'.

Results:  A concerning number of perinatal deaths were secondary to avoidable patient factors, namely a delay in seeking medical care, inappropriate responses to antepartum haemorrhage, and inadequate responses to poor foetal movements. Medical personnel factors are also worth observing, namely incorrect use of partograph, insufficient notes to comment on avoidable factors and 'other' medical personnel problems. Ranking highest among administrative problems were the unavailability of intensive care unit beds and ventilators and inadequate resuscitation equipment. Administrative problems accounted for more perinatal deaths than the patient-related factors and medical personnel factors.

Conclusion:  There is an urgent need for periodic audits, health education for patients, staff competency and the necessary equipment to resuscitate neonates.Contribution: Avoidable determinants associated with perinatal deaths in a district hospital in Lesotho could be identified. This information provides an understanding of what can be done to limit avoidable perinatal deaths.

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