助产士与非医学指征引产

Publisher Summary

Marked differences exist between developed and developing nations in the frequency and types of labor and delivery complications. Problems that are faced in organizing intrapartum services vary correspondingly. However, certain unifying principles cut across contexts and are key to the development of effective solutions. Two such principles are: respect of women's perceptions and preferences should be central in planning services, and perinatal technologies should be appropriate to each woman's needs. The implementation of women-centered labor and delivery services requires strong administrative structures at the national, regional, and local levels with leadership that is committed to providing choices to women. Leaders must be prepared to set priorities and to implement policies and programs that are consistent with care centered on women's needs. Effective leadership is essential in developing an organization that is responsive to the unique physical and psychosocial needs of women during the perinatal period. Quality assurance programs can have an important impact on complications of labor and delivery when there is collaboration between various levels of government, health planners, and health providers. Skilled leadership is an essential tool in reducing these important sources of maternal morbidity and mortality.