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báo cáo sinh học:" Postoperative outcome of caesarean sections and other major emergency obstetric surgery by clinical officers and medical officers in Malawi"

Tuyển tập các báo cáo nghiên cứu về sinh học được đăng trên tạp chí sinh học quốc tế đề tài : Postoperative outcome of caesarean sections and other major emergency obstetric surgery by clinical officers and medical officers in Malawi | Human Resources for Health BioMed Central Research Open Access Postoperative outcome of caesarean sections and other major emergency obstetric surgery by clinical officers and medical officers in Malawi Garvey Chilopora1 Caetano Pereira2 3 Francis Kamwendo1 Agnes Chimbiri4 Eddie Malunga1 and Staffan Bergstrom 3 Address Department of Obstetrics and Gynaecology University of Malawi College of Medicine Blantyre Malawi 2Instituto Superior de Ciências de Saùde Maputo Mozambique 3Division of International Health IHCAR Department of Public Health Sciences Karolinska Institutet Stockholm Sweden and 4Centre for Reproductive Health University of Malawi College of Medicine Blantyre Malawi Email Garvey Chilopora - garveychip@yahoo.co.uk Caetano Pereira - pecaetano@yahoo.com.br Francis Kamwendo - fwkamwendo@hotmail.com Agnes Chimbiri - achimbiri@yahoo.co.uk Eddie Malunga - emalunga@medcol.mw Staffan Bergstrom - Staffan.Bergstrom@ki.se Corresponding author Published 14 June 2007 Received 6 February 2007 Human Resources for Health 2007 5 17 doi 10.1186 1478-4491-5-17 Accepted I4 June 2007 This article is available from http www.human-resources-health.cOm content 5 1 17 2007 Chilopora et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Clinical officers perform much of major emergency surgery in Malawi in the absence of medical officers. The aim of this study was to validate the advantages and disadvantages of delegation of major obstetric surgery to non-doctors. Methods During a three month period data from 2131 consecutive obstetric surgeries in 38 district hospitals in Malawi were collected prospectively. The interventions included caesarean sections alone and those that were combined with other interventions such