News > MABC would like to see an increase in registered midwife-attended births by 35 per cent in the province by 2020 / 助產士擴展服務 爭取接生35%嬰兒

MABC would like to see an increase in registered midwife-attended births by 35 per cent in the province by 2020 / 助產士擴展服務 爭取接生35%嬰兒

posted on January 24, 2014
Source: SingTao Daily, By David Jang, January 24, 2014

Synopsis: The Midwives Association of BC would like to see an increase in registered midwife-attended births by 35 per cent in the province by 2020. Ganga Jolicoeur, executive director of MABC said at a press conference that expanding midwifery service can provide better maternity care for pregnant women and babies as well as result in  $20 million annual net cost savings for the provincial government. Ms. Jolicoeur also said they’ve reached out to Minister Terry Lake and the ministry has responded positively to the expansion of midwifery service in BC. Dr. Michael Klein of UBC said many obstetrician in the province will be retiring and with shortage of midwives, this poses a challenge for the province’s maternity care service.
 
卑詩孕婦目前找家庭醫生接生愈來愈難,卑詩助產士協會(Midwives Association of BC,簡稱MABC)計畫在2020年前,爭取為本省接生35%的嬰兒,除可填補家庭或婦產科醫生接生服務不足,同時也可有效減低剖腹分娩比例。
 
MABC行政總監喬利科爾(Ganga Jolicoeur)周四在記者會上指,擴大註冊助產士服務,除可為孕婦及嬰兒提供更佳護理服務外,亦可為省政府節省高額醫療成本開支。目前本省有16%的嬰兒是由助產士接生,比例雖高於安省;但與英國、新西蘭等其他西方國家比較,仍然偏低,當地由助產士接生的嬰兒高達7成。
 
每年省二千萬醫療成本
 
喬利科爾表示,擴大助產士服務,估計在2020年前,可為省府節省6千萬元醫療成本,其後每年亦可以節省2千萬元。她說:「助產士接生大幅減低孕婦住院時間,目前不包括醫療的一天住院費就需高達2千元。」她透露,已經與卑詩省衛生廳長萊克(Terry Lake)接觸,商討擴大助產士服務計畫,而省府的回應屬正面,相信會有好成果。MABC統計,卑詩現有192個助產士,每年接生逾7千個嬰兒,17%的孕婦選擇在家中分娩。
 
卑詩大學(UBC)教授克萊因(Michael Klein)也在記者會上說,卑詩省接生醫療服務面臨挑戰,原因是本省婦產科醫生將大批退休,婦科醫生則減少接生,以及助產士短缺。他說,20年前卑詩省出生的嬰兒,8成由家庭醫接生,其餘由婦產科醫生經手,當時助產未士仍未核准執業。但現在婦產科醫生負責約35%接生,婦科醫生約50%,餘下的約15%由助產士接手。克萊因說,如今在本省找一位助產士接生也不容易,很多低陸平原的待產母親都未能找上,偏遠地區情況更嚴重。

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