世界卫生组织发布安全分娩核对清单 旨在降低孕产妇和新生儿死亡率

世界卫生组织与哈佛大学Ariadne实验室合作开发了《安全分娩核对清单及实施指南》，以应对全球孕产妇和新生儿死亡问题。1根据数据，全球每年1.3亿多次分娩中，约有30.3万名产妇死亡、260万例死胎和270万例新生儿死亡。1

该核对清单包含4个暂停点，分别在产妇入院时、推动前或剖腹产前、分娩后1小时内以及出院前进行。1在印度卡纳塔克邦的试点测试中，引入该清单后，医疗机构规范执行的医疗实践从平均10项增加至25项。1世界卫生组织于2012至2015年期间与来自29个国家的34个团队共同参与了安全分娩核对清单合作项目。1

名为"BetterBirth"的随机对照试验正在印度北方邦100多家医院进行，预计于2017年完成。1

The World Health Organization has released the Safe Childbirth Checklist and implementation guidance designed to prevent deaths among mothers and newborns in health facilities worldwide 1. Developed in collaboration with Harvard University's Ariadne Lab, the tool addresses a critical global health challenge: each year, approximately 303,000 maternal deaths, 2.6 million stillbirths, and 2.7 million newborn deaths occur among more than 130 million deliveries globally 1.

The checklist incorporates four strategic pause points where healthcare workers review critical practices: upon maternal admission, before pushing or caesarean section, within one hour after delivery, and before discharge 1. Pilot testing conducted in Karnataka, India demonstrated measurable impact, with evidence-based practices at participating facilities increasing from an average of 10 to 25 after checklist implementation 1. The intervention is currently undergoing rigorous evaluation through the BetterBirth randomized controlled trial, which involves more than 100 hospitals across Uttar Pradesh in India, with results expected by 2017 1. The development of this tool was informed by a broader collaborative effort, with 34 teams from 29 countries participating in the Safe Childbirth Checklist Collaboration between 2012 and 2015 1.