Midwives Tetanus Immunization and Infant Mortality 传统的助产士破伤风免疫和婴儿死亡率课件.pptVIP

下载本文档

3
0
约1.04万字
约 30页
2018-06-22 发布于贵州
举报
版权申诉

Midwives Tetanus Immunization and Infant Mortality 传统的助产士破伤风免疫和婴儿死亡率课件.ppt

1、本文档共30页，可阅读全部内容。
2、原创力文档（book118）网站文档一经付费（服务费），不意味着购买了该文档的版权，仅供个人/单位学习、研究之用，不得用于商业用途，未经授权，严禁复制、发行、汇编、翻译或者网络传播等，侵权必究。
3、本站所有内容均由合作方或网友上传，本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺！文档内容仅供研究参考，付费前请自行鉴别。如您付费，意味着您自己接受本站规则且自行承担风险，本站不退款、不进行额外附加服务；查看《如何避免下载的几个坑》。如果您已付费下载过本站文档，您可以点击这里二次下载。
4、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等，请点击“版权申诉”（推荐），也可以打举报电话：400-050-0827(电话支持时间：9:00-18:30)。
5、该文档为VIP文档，如果想要下载，成为VIP会员后，下载免费。
6、成为VIP后，下载本文档将扣除1次下载权益。下载后，不支持退款、换文档。如有疑问请联系我们。
7、成为VIP后，您将拥有八大权益，权益包括：VIP文档下载权益、阅读免打扰、文档格式转换、高级专利检索、专属身份标志、高级客服、多端互通、版权登记。
8、VIP文档为合作方或网友上传，每下载1次，网站将根据用户上传文档的质量评分、类型等，对文档贡献者给予高额补贴、流量扶持。如果你也想贡献VIP文档。上传文档

Midwives Tetanus Immunization and Infant Mortality 传统的助产士破伤风免疫和婴儿死亡率课件

Traditional Midwives, Tetanus Immunization, and Infant Mortality in Rural Haiti Krista Pfaendler GHIG Journal Club December 6, 2004 Parturition Around the World in 1978 2/3 of the world’s babies are born at home, attended by a traditional birth attendant (TBA) Home birth environment is often characterized by prevalence of infections and poor sanitation In rural Haiti, TBAs known as matrones perform 80% of deliveries Maternal mortality rates are high (367 deaths/100,000 live births) Background on Haiti Occupies western 1/3 of Hispaniola 5 million people 11,000 square miles Haitians take pride in the fact that they defeated French forces in 1804, becoming the first Negro republic in the world Haiti and the Artibonite Valley The Artibonite Valley is the region served by H?pital Albert Schweitzer, located in Deschapelles Home Birth in the Artibonite Valley Thatch-covered homes with packed earth floors, mud walls, little furniture Mat on the floor serves as a bed Most deliveries occur on the mat, with the mother in a squatting or semi-seated position and husband or relative supporting TBA or a trusted grandmother will be called in when labor becomes intense Midwives/TBAs Believe in letting nature take its course May administer teas and potions to ease pain Rarely perform vaginal or rectal exams Often very perceptive about early signs of obstructed labor Willing to help transport patient to modern facility if delivery will be difficult Under-utilization of maternity beds Of estimated 3600 deliveries per year in Artibonite Valley, less than 10% took place in maternity unit that has the capacity to conduct at least 20% of deliveries Delivery Marshal F.N. Advances in Pediatrics (1968): At delivery, “the baby usually falls on dirt, whether in a house or outside, and later lies on a straw mat beside the mother. It is likely that the soil and climate conditions, and modes of human and animal living in Haiti foster the accumulation and widespread distribution of tetanus ba