解释该国最贫困省份孕妇常见死亡原因的经历(一项定性研究)

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摘要

导读:怀孕是每个女人生命中的一个自然过程,导致孩子的出生。由于怀孕的命运可能以死亡告终,对降低孕产妇死亡率的影响因素进行深入研究可以显著改善对孕妇的护理方案。方法:本定性研究于2021年在扎黑丹医科大学卫生服务部门进行。采用深度个人半结构化访谈收集数据。访谈根据访谈指南进行。采用信度、效度和可接受性、可验证性和可转移性四项指标评价其正确性和可靠性。采用契约内容法进行分析。结果:本研究共纳入27名被试,获得67个主要概念。在对访谈的分析中,在编码阶段,提取了六个子类别,最后提取了三个主要类别(个人因素、影响健康的社会因素和服务提供)。结论:本研究结果表明,卫生服务的提供并不理想。为了有效降低产妇死亡率,必须注意分娩前、分娩中和分娩后护理的数量和质量,并进行有针对性的培训。增加孕期护理的覆盖面和质量,提高计划生育咨询的质量,提高医疗和助产人员在产后护理领域的技能和知识,将是降低孕产妇死亡率的最关键的有效措施
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Explaining the Experiences of Common Causes of Death among Pregnant Mothers in the Least Privileged Province of the Country (A qualitative Study)
Introduction: Pregnancy is a natural process in every woman's life, leading to the birth of a child. Since the fate of pregnancy can end in death, an in-depth study of the influential factors in the reduction of maternal mortality rate can significantly improve care programs for pregnant mothers. Method: This qualitative research was performed in the health services of Zahedan University of Medical Sciences in 2021. In-depth individual semi-structured interviews were used to collect data. The interviews were conducted based on the interview guide. To evaluate the correctness and reliability, four indices were used, including reliability, validity and acceptability, verifiability, and transferability. The contractual content method was used for analysis. Results: In this research, 27 subjects were included, and 67 primary concepts were obtained. In the analysis of the interviews, in the coding stage, six subcategories and, finally, three main categories (individual factors, social factors affecting health, and service provision) were extracted. Conclusion: As evidenced by the results of this study, the provision of health services was not optimal. In order to effectively reduce the ratio of maternal deaths, it is necessary to pay attention to the quantity and quality of care before, during, and after childbirth, as well as targeted training. Increasing the coverage and quality of pregnancy care, improving the quality of family planning counseling, and improving the skills and knowledge of the medical and midwifery staff in the field of postpartum care will be among the most critical effective measures in reducing maternal mortality
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