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1990年3月讨论会曾提到每年全世界孕产妇死亡人数达50万,其中30万发生在南亚。其原因是多方面的。除产科原因外,人群的生活环境和贫困也有影响。统计数字表明,孕产妇或围产儿死亡率皆与国民年平均收入有关。在同一国家,社会经济条件不变,在最近数十年,孕产妇和围产儿死亡率及病率都有非常显著的下降,这些结果应归功于孕期管理的加强和产时各种监护技术的创新及新生儿复苏技术的进展。对发展中国家来说,主要是社会经济条件和卫生方面的改善,但也应考虑是产科医疗处理(Médicalisation)的特殊贡献。研究分娩医疗化到底是否带来好处,是本次圆桌会议的中心议题。一、分娩是否一种自然行为
The March 1990 seminar mentioned the number of maternal deaths worldwide reaching 500,000 each year, 300,000 of them in South Asia. The reason is many. In addition to obstetric reasons, the population living environment and poverty also have an impact. Statistics show that maternal or perinatal mortality rates are all related to the national average annual income. In the same country, the socio-economic conditions remain unchanged. In recent decades, the maternal and perinatal mortality and morbidity rates have shown a very significant drop. These results should be attributed to the intensified management of pregnancy and various custody techniques at birth Innovation and neonatal recovery technology advances. For developing countries, mainly socioeconomic conditions and health improvements, but should also be considered as a special contribution to the medical treatment (Médicalisation). It is the central topic of this roundtable to study whether the medicalization of childbirth can bring benefits. First, childbirth is a natural act