The strategy of risk approach in antenatal care : evolution of the referral compliance.
The main goal of antenatal care in developing countries is to identify women whose pregnancy or delivery is likely to raise problems and to refer them at the appropriate time to a hospital facility where the necessary medical equipment and expertise (vacuum extractors, cesarian sections, human skill, etc.) is available.
This approach, which is known as the Risk Approach (RA) strategy, is expected to significantly reduce maternal morbidity and mortality.
However, the RA will function properly only if the women identified at risk agree to give birth in a hospital on the one hand, and if they can indeed reach this hospital on the other hand.
In this article the authors assess to what extent women with a risk of difficult labor (nulliparous or primiparous women under 150 cm, history of previous difficult delivery or stillbirth, women with transverse lie) agreed to give birth in a hospital.
This descriptive survey, which covered 5060 pregnancies monitored in the Kasongo District, Maniema, in eastern Zaire, showed that the referral success rate in this socioeconomically very disadvantaged region was only 33%, despite some favorable conditions, such as a strong emphasis on community participation, a complementarity of health centers and hospital, and the absence of financial barriers within the health services system.
Mots-clés Pascal : Soin, Prénatal, Risque élevé, Gestation pathologie, Homme, Femelle, Orientation, Hôpital, Accouchement, Evaluation, Zaïre, Afrique, Observance
Mots-clés Pascal anglais : Care, Prenatal, High risk, Pregnancy disorders, Human, Female, Orientation, Hospital, Delivery, Evaluation, Zaire, Africa
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0093055
Code Inist : 002B20G01. Création : 09/06/1995.