Tüm Kadınlar ve Tüm Yenidoğanlar İçin Kaliteli Ebelik Bakımı: Lancet’in Ebelik Serisi’nden Öğrenme ve Seri’yi Kullanma
Özet
Lancet'in Ebelik Serisi, dünya genelinde kadınlar, yenidoğanlar ve aileler için kaliteli ebelik bakımının önemini ve sağlık sistemlerindeki dönüştürücü rolünü inceleyen kapsamlı bir kaynaktır. Bulgular; iyi eğitilmiş, desteklenmiş ve sağlık sistemine entegre edilmiş profesyonel ebelerin sunduğu evrensel ebelik bakımının, anne ve yenidoğan ölümleri ile ölü doğumları %80'den fazla azaltabileceğini göstermektedir. Ebelik uygulamalarının %70'inden fazlası normal doğum sürecini destekleyerek tıbbileşmeyi dengeler ve gereksiz müdahaleleri önler. Kaliteli Anne ve Yenidoğan Bakım Çerçevesi; bakımın saygı, insan hakları ve kadının kendi yeteneklerini güçlendirme felsefesi üzerine kurulması gerektiğini, ayrıca etkili bir disiplinler arası çalışmaya ihtiyaç duyulduğunu ortaya koymaktadır. Ebeler, kadınların ve yenidoğanların ihtiyaç duyduğu temel bakımın %87'sini sağlayabilme potansiyeline sahiptir. Bu kanıtlar; DSÖ, ICM ve çeşitli ülkeler tarafından ebelik eğitim müfredatlarının geliştirilmesi, ulusal sağlık politikalarının şekillendirilmesi ve araştırma önceliklerinin belirlenmesi amacıyla küresel düzeyde yaygın olarak kullanılmaktadır. Sonuç olarak ebelik bakımı, BM Sürdürebilir Kalkınma Hedeflerine ulaşılmasında ve toplumların radikal biçimde dönüşmesinde maliyet etkin ve hayati bir yatırım aracıdır.
The Lancet's Midwifery Series is a comprehensive resource examining the importance of quality midwifery care for women, newborns, and families worldwide and its transformative role in health systems. Findings show that universal midwifery care provided by well-trained, supported, and integrated professional midwives can reduce maternal and newborn deaths and stillbirths by more than 80%. More than 70% of midwifery practices support the normal birth process, balancing medicalization and preventing unnecessary interventions. The Quality Maternal and Newborn Care Framework reveals that care must be built on a philosophy of respect, human rights, and strengthening women's own capabilities, while also requiring effective interdisciplinary teamwork. Midwives have the potential to provide 87% of the essential care needed by women and newborns. These evidences are widely used globally by WHO, ICM, and various countries to develop midwifery education curricula, shape national health policies, and determine research priorities. Consequently, midwifery care is a cost-effective and vital investment tool for achieving the UN Sustainable Development Goals and radically transforming societies.
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