Anne ölümleri ve acil obstetrik bakım

Amaç: Türkiye’de ana sağlığı programları anne ölümlerini azaltmak için genellikle komplikasyonlu gebelikleri tespit etmeye yönelik olarak yürütülmüştür. Bu yaklaşım kazandırdığı pek çok artıya rağmen ana ölümlerini azaltmaya yetmemektedir. Ana bulgular: Birçok araştırma komplikasyonlu gebeliklerin çoğunun bilinen bir risk faktörü taşımadığını ve obstetrik komplikasyonların genellikle önceden tahmin edilemeyip önlenemediğini göstermiştir. Bu nedenle tüm gebe kadınlar için Acil Obstetrik Bakım (AOB) sisteminin kullanılabilir olması şarttır ve birçok gelişmekte olan ülkede sağlık kuruluşları AOB hizmet sunumu için gerekli yapıya zaten sahiptir. Sonuç: Ana ölümlerinin azaltılması için harcanacak çabaların odağında mutlaka AOB hizmetlerine ulaşılabilirlik olmalıdır.

Maternal mortality and emergency obstetric care

Objective: In Turkey, mother health programs are commonly focused to define pregnant women who have complications to decrease maternal deaths. Although gains of this approach, it is not enough to decrease the number of maternal deaths. Main findings: Many researches showed that pregnancies that have complications do not carry any known risk factor and most obstetric complications can neither be predicted nor prevented. Because of this reason, effective use of Emergency Obstetric Care (EmOC) system is needed for all pregnant women. In many developing countries, facilities that are supposed to provide emergency obstetric services already exist. Conclusion: Prompt access to EmOC should be centralized to reduce deaths among pregnant women.

Kaynakça

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