fa بررسی برنامه ترویج زایمان طبیعی در بیمارستان‌های دولتی در راستای طرح تحول نظام سلامت و دستاوردهای آن عمومى General گزارش Report <span style="font-variant-numeric: normal; font-variant-east-asian: normal; font-family: BMitra; font-size: 13pt; color: rgb(35, 31, 32);">از ابتــدای ســال 1378تــاش بــرای بهبــود کیفیــت ارایــه&nbsp;<span style="font-size: 13pt; font-variant-numeric: normal; font-variant-east-asian: normal;">خدمـات بـه مـادران در دسـتور کار اداره سـلامت مـادران قـرار&nbsp;<span style="font-size: 13pt; font-variant-numeric: normal; font-variant-east-asian: normal;">گرفـت. ایـن تـلاش بـا استانداردسـازی مراقبتهـای روتیـن و&nbsp;<span style="font-size: 13pt; font-variant-numeric: normal; font-variant-east-asian: normal;">ویـژه بـه مـادران در دوران بـارداری، زایمـان و پـس از زایمـان&nbsp;<span style="font-size: 13pt; font-variant-numeric: normal; font-variant-east-asian: normal;">در ســطوح خــارج بیمارســتانی، بــرای غیرپزشــکان و پزشــکان<br> <span style="font-size: 13pt; font-variant-numeric: normal; font-variant-east-asian: normal;">عمومـی بـه انجـام رسـید.&nbsp;<span style="font-size: 13pt; font-variant-numeric: normal; font-variant-east-asian: normal;">بــر اســاس اطاعــات بهدســت آمده از نظــام مراقبــت مــرگ&nbsp;<span style="font-size: 13pt; font-variant-numeric: normal; font-variant-east-asian: normal;">مــادری از ســال ،1380علــت اصلــی مرگ ومیــر مــادران در<br> <span style="font-size: 13pt; font-variant-numeric: normal; font-variant-east-asian: normal;">بیمارســتانها و مراکــز زایمانــی زایمانــی ســوء مدیریــت&nbsp;<span style="font-size: 8pt; font-variant-numeric: normal; font-variant-east-asian: normal;"><span style="font-size: 13pt; font-variant-numeric: normal; font-variant-east-asian: normal;">عنوان شـده اسـت. از سـوی دیگـر بـا توجـه بـه نتایـج حاصـل&nbsp;<span style="font-size: 13pt; font-variant-numeric: normal; font-variant-east-asian: normal;">از <span style="font-size: 8pt; font-variant-numeric: normal; font-variant-east-asian: normal;">2 <span style="font-family: TimesNewRomanPSMT; font-size: 10pt; font-variant-numeric: normal; font-variant-east-asian: normal;">DHS<span style="font-family: BMitra; font-size: 13pt; font-variant-numeric: normal; font-variant-east-asian: normal;">ســال <span style="font-family: TimesNewRomanPSMT; font-size: 8pt; font-variant-numeric: normal; font-variant-east-asian: normal;">%<span style="font-family: BMitra; font-size: 13pt; font-variant-numeric: normal; font-variant-east-asian: normal;">85 ،1379زایمانهــا در بیمارســتانها و&nbsp;<span style="font-size: 13pt; font-variant-numeric: normal; font-variant-east-asian: normal;">مراکــز زایمانــی و توســط افــراد تحصیل کــرده انجــام شــده&nbsp;<span style="font-size: 13pt; font-variant-numeric: normal; font-variant-east-asian: normal;">اســت و همچنیــن میــزان ســزارین در کشــور بالاتــر از میــزان&nbsp;<span style="font-size: 13pt; font-variant-numeric: normal; font-variant-east-asian: normal;">قابــل قبــول اعــلام شــده توســط ســازمان جهانــی بهداشــت&nbsp;<span style="font-size: 13pt; font-variant-numeric: normal; font-variant-east-asian: normal;">اســت. در بیانیــه ایــن ســازمان آمــده اســت: ســزارین یکــی از&nbsp;<span style="font-size: 13pt; font-variant-numeric: normal; font-variant-east-asian: normal;">متداولتریــن انــواع جراحیهــا در جهــان اســت کــه به ویــژه&nbsp;<span style="font-size: 13pt; font-variant-numeric: normal; font-variant-east-asian: normal;">در کشــورهای توســعه یافته و درحال توســعه آمــار آن رو&nbsp;<span style="font-size: 13pt; font-variant-numeric: normal; font-variant-east-asian: normal;">بــه افزایــش اســت. اگرچــه ایــن جراحــی در مــوارد ضــروری&nbsp;<span style="font-size: 13pt; font-variant-numeric: normal; font-variant-east-asian: normal;">نجات بخــش اســت امــا در بســیاری از مــوارد بــدون اضطــرار&nbsp;<span style="font-size: 13pt; font-variant-numeric: normal; font-variant-east-asian: normal;">پزشـکی انجـام میشـود کـه میتوانـد زنـان بـاردار و نـوزادان&nbsp;<span style="font-size: 13pt; font-variant-numeric: normal; font-variant-east-asian: normal;">آنهـا را در معـرض مشـکلات کوتاه مـدت و بلندمـدت پزشـکی&nbsp;<span style="font-size: 13pt; font-variant-numeric: normal; font-variant-east-asian: normal;">قــرار دهــد.</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span> <span style="font-variant-numeric: normal; font-variant-east-asian: normal; font-family: TimesNewRomanPS-BoldMT; font-size: 14pt; color: rgb(34, 34, 34);"><b>Study of the Promotion of Normal Delivery Program in Government Hospitals</b><br> <span style="font-size: 14pt; font-variant-numeric: normal; font-variant-east-asian: normal;"><b>in Line with the Health Transformation Plan and Its Achievements</b><br> <span style="font-family: TimesNewRomanPSMT; font-size: 11pt; color: rgb(35, 31, 32); font-variant-numeric: normal; font-variant-east-asian: normal;">Farah Babaei <span style="font-size: 7pt; font-variant-numeric: normal; font-variant-east-asian: normal;">1<span style="font-size: 11pt; font-variant-numeric: normal; font-variant-east-asian: normal;">, Mohammad Aghajani <span style="font-size: 7pt; font-variant-numeric: normal; font-variant-east-asian: normal;">2<span style="font-size: 11pt; font-variant-numeric: normal; font-variant-east-asian: normal;">, Leila Estambolichi <span style="font-size: 7pt; font-variant-numeric: normal; font-variant-east-asian: normal;">3<span style="font-size: 11pt; font-variant-numeric: normal; font-variant-east-asian: normal;">, Maryam Joshari <span style="font-size: 7pt; font-variant-numeric: normal; font-variant-east-asian: normal;">3<span style="font-size: 11pt; font-variant-numeric: normal; font-variant-east-asian: normal;">, Zohre Mazaheri <span style="font-size: 7pt; font-variant-numeric: normal; font-variant-east-asian: normal;">3<span style="font-size: 11pt; font-variant-numeric: normal; font-variant-east-asian: normal;">, Fariba<br> <span style="font-size: 11pt; font-variant-numeric: normal; font-variant-east-asian: normal;">Kykhosravi <span style="font-size: 7pt; font-variant-numeric: normal; font-variant-east-asian: normal;">3<span style="font-size: 11pt; font-variant-numeric: normal; font-variant-east-asian: normal;">, Ali Shahrami <span style="font-size: 7pt; font-variant-numeric: normal; font-variant-east-asian: normal;">4<span style="font-size: 11pt; font-variant-numeric: normal; font-variant-east-asian: normal;">, Alireza Olyaeemanesh <span style="font-size: 7pt; font-variant-numeric: normal; font-variant-east-asian: normal;">5<span style="font-size: 11pt; font-variant-numeric: normal; font-variant-east-asian: normal;">, Saeid Manavi <span style="font-size: 7pt; font-variant-numeric: normal; font-variant-east-asian: normal;">6<span style="font-size: 11pt; font-variant-numeric: normal; font-variant-east-asian: normal;">, Leila Poraghasi <span style="font-size: 7pt; font-variant-numeric: normal; font-variant-east-asian: normal;">7<span style="font-size: 11pt; font-variant-numeric: normal; font-variant-east-asian: normal;">, Ali Maher <span style="font-size: 7pt; font-variant-numeric: normal; font-variant-east-asian: normal;">8*<span style="font-size: 11pt; font-variant-numeric: normal; font-variant-east-asian: normal;">,<br> <span style="font-size: 11pt; font-variant-numeric: normal; font-variant-east-asian: normal;">Mosa Tabatabaei <span style="font-size: 7pt; font-variant-numeric: normal; font-variant-east-asian: normal;">9<span style="font-size: 11pt; font-variant-numeric: normal; font-variant-east-asian: normal;">, Jamshid Kermanchi <span style="font-size: 7pt; font-variant-numeric: normal; font-variant-east-asian: normal;">10<span style="font-size: 11pt; font-variant-numeric: normal; font-variant-east-asian: normal;">, Peirhossein Kolivand <span style="font-size: 7pt; font-variant-numeric: normal; font-variant-east-asian: normal;">11<span style="font-size: 11pt; font-variant-numeric: normal; font-variant-east-asian: normal;">, Hassan Vaezi <span style="font-size: 7pt; font-variant-numeric: normal; font-variant-east-asian: normal;">12<span style="font-size: 11pt; font-variant-numeric: normal; font-variant-east-asian: normal;">, Marziyeh Zangeneh <span style="font-size: 7pt; font-variant-numeric: normal; font-variant-east-asian: normal;">13<span style="font-size: 11pt; font-variant-numeric: normal; font-variant-east-asian: normal;">,<br> <span style="font-size: 11pt; font-variant-numeric: normal; font-variant-east-asian: normal;">Arezoo Dehghani <span style="font-size: 7pt; font-variant-numeric: normal; font-variant-east-asian: normal;">14<span style="font-size: 11pt; font-variant-numeric: normal; font-variant-east-asian: normal;">, Seyedeh Sana Hosseini <span style="font-size: 7pt; font-variant-numeric: normal; font-variant-east-asian: normal;">15<br> <span style="font-family: TimesNewRomanPS-ItalicMT; font-size: 6pt; font-variant-numeric: normal; font-variant-east-asian: normal;"><i>1 </i><span style="font-size: 10pt; font-variant-numeric: normal; font-variant-east-asian: normal;"><i>Head of Department of Midwifery, Ministry of Health and Medical Education</i><br> <span style="font-size: 6pt; font-variant-numeric: normal; font-variant-east-asian: normal;"><i>2 </i><span style="font-size: 10pt; font-variant-numeric: normal; font-variant-east-asian: normal;"><i>Deputy for Curative Affairs, Ministry of Health and Medical Education</i><br> <span style="font-size: 6pt; font-variant-numeric: normal; font-variant-east-asian: normal;"><i>3 </i><span style="font-size: 10pt; font-variant-numeric: normal; font-variant-east-asian: normal;"><i>Expert of Midwifery Department, Ministry of Health and Medical Education</i><br> <span style="font-size: 6pt; font-variant-numeric: normal; font-variant-east-asian: normal;"><i>4 </i><span style="font-size: 10pt; font-variant-numeric: normal; font-variant-east-asian: normal;"><i>Executive Vice of Curative Affairs, Ministry of Health and Medical Education</i><br> <span style="font-size: 6pt; font-variant-numeric: normal; font-variant-east-asian: normal;"><i>5 </i><span style="font-size: 10pt; font-variant-numeric: normal; font-variant-east-asian: normal;"><i>Director General of the Office of Technology Assessment, Standards and Health Tariffs,</i><br> <span style="font-size: 10pt; font-variant-numeric: normal; font-variant-east-asian: normal;"><i>Ministry of Health and Medical Education</i><br> <span style="font-size: 6pt; font-variant-numeric: normal; font-variant-east-asian: normal;"><i>6 </i><span style="font-size: 10pt; font-variant-numeric: normal; font-variant-east-asian: normal;"><i>Head of the Tariff Policy Department and Payment System, Ministry of Health and Medical Education</i><br> <span style="font-size: 6pt; font-variant-numeric: normal; font-variant-east-asian: normal;"><i>7 </i><span style="font-size: 10pt; font-variant-numeric: normal; font-variant-east-asian: normal;"><i>Expert of Tariff Policy Department, Payment and Treatment Resources,Ministry of Health and Medical Education</i><br> <span style="font-size: 6pt; font-variant-numeric: normal; font-variant-east-asian: normal;"><i>8 </i><span style="font-size: 10pt; font-variant-numeric: normal; font-variant-east-asian: normal;"><i>Vice Deputy of Curative Affairs. Ministry of Health and Medical Education</i><br> <span style="font-size: 6pt; font-variant-numeric: normal; font-variant-east-asian: normal;"><i>9 </i><span style="font-size: 10pt; font-variant-numeric: normal; font-variant-east-asian: normal;"><i>Head of the Department of Economic Planning and Health Insurance, Ministry of Health and Medical Education</i><br> <span style="font-size: 6pt; font-variant-numeric: normal; font-variant-east-asian: normal;"><i>10 </i><span style="font-size: 10pt; font-variant-numeric: normal; font-variant-east-asian: normal;"><i>Adviser of Curative Affairs in the Disease Management, Ministry of Health and Medical Education</i><br> <span style="font-size: 6pt; font-variant-numeric: normal; font-variant-east-asian: normal;"><i>11 </i><span style="font-size: 10pt; font-variant-numeric: normal; font-variant-east-asian: normal;"><i>Head of the Emergency Department of the Country, Ministry of Health and Medical Education</i><br> <span style="font-size: 6pt; font-variant-numeric: normal; font-variant-east-asian: normal;"><i>12 </i><span style="font-size: 10pt; font-variant-numeric: normal; font-variant-east-asian: normal;"><i>Head of Hospital Emergency, Ministry of Health and Medical Education</i><br> <span style="font-size: 6pt; font-variant-numeric: normal; font-variant-east-asian: normal;"><i>13 </i><span style="font-size: 10pt; font-variant-numeric: normal; font-variant-east-asian: normal;"><i>Expert of Coordination Office and Planning of Health Insurance. Ministry of Health and Medical Education</i><br> <span style="font-size: 6pt; font-variant-numeric: normal; font-variant-east-asian: normal;"><i>14 </i><span style="font-size: 10pt; font-variant-numeric: normal; font-variant-east-asian: normal;"><i>Director of Public Relations of Curative Affairs, Ministry of Health and Medical Education</i><br> <span style="font-size: 6pt; font-variant-numeric: normal; font-variant-east-asian: normal;"><i>15 </i><span style="font-size: 10pt; font-variant-numeric: normal; font-variant-east-asian: normal;"><i>Expert of Curative Affairs, Ministry of Health and Medical Education</i></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span> زایمان طبیعی, بیمارستان‌های دولتی, طرح تحول نظام سلامت Normal Delivery, Government Hospitals, Health Transformation Plan 44 53 http://hakim.tums.ac.ir/browse.php?a_code=A-10-1-636&slc_lang=fa&sid=1 Farah Babaei فرح بابایی No وزارت بهداشت، درمان و آموزش پزشکی Mohammad Aghajani محمد آقاجانی No وزارت بهداشت، درمان و آموزش پزشکی Leila Estambolichi لیلی اسلامبولچی No وزارت بهداشت، درمان و آموزش پزشکی Maryam Joshari مریم جوشری No وزارت بهداشت، درمان و آموزش پزشکی Zohre Mazaheri زهره مظاهری No وزارت بهداشت، درمان و آموزش پزشکی Fariba Kykhosravi فریبا کیخسروی No وزارت بهداشت، درمان و آموزش پزشکی Ali Maher علی ماهر maher@health.gov.ir Yes وزارت بهداشت، درمان و آموزش پزشکی et al et al همکاران همکاران No وزارت بهداشت، درمان و آموزش پزشکی