• 播报已发布Hurricane Utah flooding forces Gould Wash and WillowWind evacuations
  • 新报道Ecuador opposition leader Luisa Gonzalez arrested in campaign-finance probe
  • 持续更新Blizzard warning forecasts up to 15 inches of snow on Interior Seward Peninsula — 2 个来源
  • 持续更新Blizzard warning forecasts up to 60 mph gusts for Shishmaref coast — 2 个来源
  • 持续更新Flood watch issued for Santa Barbara County as heavy rain is forecast — 4 个来源
  • 新报道Blizzard warning forecasts 65 mph gusts for Western Arctic Coast
  • 播报已发布South Vienna shooting: Two drivers injured near school; campus stays open
  • 持续更新Blizzard warning forecasts up to 7 inches of snow and 60 mph gusts on Seward Peninsula coast — 2 个来源
  • 新报道High wind warning forecasts gusts up to 65 mph on Yukon Delta Coast
  • 新报道Lakeville police seek help locating missing 15-year-old Sophia Herrera

灾害 · 洪灾后的产科护理持续报道 · 第 5 篇，共 6 篇

逃离尼泊尔洪灾的母亲们，仍面临另一场紧急危机

估计有5,030名孕妇受到8月灾害影响。诊所和撤离行动帮助了一些人，但交通、拥挤的避难所和安全休养的问题仍未解决。

播出 文字 阅读需 7 分钟173 个来源HeyDay News Desk · About usWatch report
与 HeyDex 一起探索

通过 RSS 关注

原语言视频

文字实录 · 正在加载

译自英文原文。

持续报道第 36 天

6 篇报道123 家媒体249 个来源7 个视频

完整报道
10 天无进展4 天无进展
  • 暂无标注日期的事件
  1. 第 1 次更新冰川坍塌引发洪水席卷尼泊尔—西藏山谷，近1,500人失踪
  2. 第 2 次更新冰川坠落一公里，随后山谷被洪水淹没
  3. 第 3 次更新尼泊尔洪灾死亡人数达919人，隧道搜救成为争分夺秒营救数百人的行动
  4. 第 4 次更新被埋九天，终于听见回应：尼泊尔隧道救援在1,380人死亡的灾情中创造奇迹
  5. 第 5 次更新逃离尼泊尔洪灾的母亲们，仍面临另一场紧急危机当前位置
  6. 第 6 次更新尼泊尔结束一般洪灾搜救。数千个家庭仍在等待答案。较新

自上次报道以来的变化

25 天后

当时

被埋九天，终于听见回应：尼泊尔隧道救援在1,380人死亡的灾情中创造奇迹

当时尚无定论

  • 没有关于任何人如何在地下生存九至十天的经证实说法，也没有他们医疗状况的资料
  • 尚无经过核对的最终伤亡总数，也没有经过核实的数字说明有多少人仍被困在隧道内、多少人在其他地方失踪

我们说过将关注的

  • 隧道救援人员能否在季风洪水和泥浆封住剩余空隙之前，找到官员称仍可能被困的121人
  • 尼泊尔和西藏的失踪人员名单是否会汇总为一个可信的伤亡总数，还是继续彼此不符

现在

估计有5,030名孕妇受到8月灾害影响。诊所和撤离行动帮助了一些人，但交通、拥挤的避难所和安全休养的问题仍未解决。

卡尔帕娜·尼泊尔已经为分娩做了计划，却没有办法摆脱产后等待着她的困境。她的第一个孩子预计将在11月出生。她打算在努瓦科特卫生中心分娩，之后回到一处大厅，那里约有80名流离失所者睡在地板上。尼泊尔8月26日洪灾发生一个多月后，能够抵达产科设施也只能解决她紧急处境的一部分。1

《卫报》记者吉贾莎·米什拉9月30日刊发的幸存者讲述，展现了救援为母亲们做到了什么，又有哪些事仍未做到。结合注明日期的联合国应对报告，这篇报道记录了仍在运作的服务、个别撤离行动，以及送达女性手中的物资。但它并未证明每一名高危孕妇都能获得交通安排，也未证明出院的母亲有安全的地方与新生儿一同休养。1 9 38

关键事实

  1. 5,030估计受影响的尼泊尔孕妇 9
  2. ~750未来三个月预计需要紧急护理的人数 9

这些是规划估算，并非对已确认女性的普查，也不是实际观察到的并发症数量。联合国人口基金9月4日至9日的报告预计，未来三个月将有约750例紧急产科或新生儿护理需求。这一数字取代了此前约250例的预测，两者不得相加。9 36

直升机无法解决的问题

21岁的普佳·帕里亚尔当时在特里苏里医院，因为她3个月大的女儿里迪卡要接种疫苗并接受常规产后检查。8月26日上午7:30，她离开了自己在特里苏里集市租住的住所。根据她大致的回忆，约90分钟后，她所在的街区被毁。洪水来袭时，她们正因这次预约而不在家。1

但医院也成了她们无法离开的地方。约50名患者（包括5名新生儿）和医护人员被困3天。白天，他们爬上屋顶观察直升机；夜里则回到病房。帕里亚尔几乎没睡。1

那三天对我来说简直是活地狱，没有食物，没有能用的厕所，也没人帮我照看孩子。

普佳·帕里亚尔 1

她告诉《卫报》，自己没有东西清洗里迪卡弄脏的衣服，饥饿还使她的奶量减少。第四天，军方直升机将她们一行人撤离。获救后，里迪卡被诊断出患有肺炎；她接受了何种治疗以及之后是否康复，均未得到证实。据报道，母女二人住在比杜尔的拉米巴盖查临时安置中心，与约125人共住25顶帐篷。1

帕里亚尔失去了租住房屋中的一切。《卫报》称，她的处境使她不符合政府赔偿条件——并非所有租户在法律上都被排除在赔偿之外。回父母家只是一个可能的选择，前提是父母也能获得安置。逃离洪水，并没有让她重新拥有家园。1

洪灾袭击廖瓦县时，23岁的卡尔帕娜已怀孕7个月。她的丈夫在一条水电隧道工作，上午8:30刚过便打电话告诉她往高处撤离。他在隧道入口附近逃了出来。她一路向山上走，随后昏了过去；再次有记忆时，她已在一架直升机上，身边还有10个人。1

“医生严格叮嘱我每四个小时吃一次东西。我不知道医生在洪灾中是否幸存，”她说。这种不确定性属于卡尔帕娜的讲述。医生没有透露姓名，其生死也都尚未得到确认。在她与人共住的大厅里，男女老少睡在垫子和铺盖上；厕所没有按性别分开，她说，那里总是排着队。1

27岁的雷努卡·尼泊尔逃难时抱着8个月大的女儿，紧紧牵着12岁儿子的手。儿子在逃生途中受了瘀伤。一位已怀孕多月的朋友跟不上；雷努卡回忆说，那位朋友试图抓住东西稳住自己时，被洪水吞没。这是幸存者的讲述，并非经独立证实的遗体搜寻结果或正式身份确认。雷努卡和孩子如今穿着捐赠来的衣服，与帕里亚尔住在同一处避难所。1

联合国驻尼泊尔协调员莉拉·皮特斯·亚希亚警告说，经历这样的遭遇后，孕妇和哺乳期女性可能面临更大的创伤、休克和产后抑郁风险。这是对风险的警告，并非对这些女性作出的诊断。不过，她们的讲述清楚呈现了这些风险的现实根源：饥饿、恐惧、婴儿照护中断、住房丧失，以及对所依赖之人的下落感到不确定。1

部分人获得照护，并非所有人都能

联合国人口基金（UNFPA）传播分析师阿迪蒂·阿里亚尔告诉《卫报》，受灾女性中有550人“下个月”预产。在9月30日刊发的报道中，这指的是10月；但采访日期并未另行注明，也没有相应的已发布联合国人口基金表格证明这一估算是专门针对10月重新计算的。这并非已确认预约或分娩地点的数量。1

报道介绍了一种安排：根据预产期，将避难所中的孕妇分配至最近仍在运作的卫生中心；对于有并发症或属于高危妊娠的孕妇，则在预产期前一周用飞机送往加德满都的一家产科医院。目前尚无相应的全系统操作规程得到证实。这一安排的描述并不能证明每一名符合条件的女性都已或将会获得航班转运。1

个别服务有记录可查。People’s Review于9月6日报道，洪灾发生以来有9名女性在特里苏里医院分娩；4名产科患者被转往其他地方，其中2人乘坐军方直升机，另外2人乘救护车。Ratopati于9月6日的报道记录了加德满都帕罗帕卡妇产医院接收的17名转诊患者，以及13名出院的孕妇或产后女性——不是17人出院。其余患者据称病情稳定。41 138

能否抵达医院与医院的接诊能力是两个不同的问题。Kantipur于9月27日报道，受洪灾影响的阿马乔丁莫地区道路中断，孕妇因此无法接受产前检查。分娩计划的实际效用，取决于女性与医疗设施之间的通路是否畅通。55

联合国人口基金8月28日至9月3日的报告称，有两支流动医疗队通过国际非营利组织Marie Stopes International开展服务。一支由1名医生和3名护士组成的努瓦科特团队为146人提供了服务，包括产前和产后护理、计划生育、心理社会支持以及高危妊娠转诊。9月4日至9日的阶段性报告统计有472人获得服务，其中包括356名女性和女孩；服务范围扩大后，团队在9个地点覆盖比杜尔和基斯庞地区。36 9

联合国人口基金9月25日发布的一篇报道指出，截至9月中旬，流动服务已覆盖900多人，但具体统计截止时间未说明。这些时间段重叠的应对行动快照不能相加。它们统计的是生殖健康和性别暴力服务覆盖人数，并非估计怀孕人数中实际获得护理的人数。38

9月4日至9日的报告还记录了2,800套尊严包和青少年套件已发出，并设立了4处女性友好空间。联合国人口基金后续报告称，物资已发放，这些空间提供信息、心理社会支持和转介服务。发出物资不等于每一名预期受益者都已收到；这类援助意义重大，但并不能证明住房已恢复或产科服务已全面覆盖。9 38

伤亡数字仍需注明日期

8月31日，HeyDay News报道尼泊尔和西藏共有919人死亡、4,793人失踪。9月5日，我们报道尼泊尔确认死亡人数为1,331人，失踪人数超过5,000人。这些是灾情在不同日期的阶段性数字，统计地理范围也不同，不应当作当前数字呈现。

本报道能够确认的最新一组完整政府数据日期为9月26日：根据PTI援引并由《今日印度》发布的国家灾害风险降低与管理局（NDRRMA）数据，尼泊尔有1,453人死亡、5,285人失踪。仅有112名遇难者的身份得到确认，遗体已移交。数据还统计了13,795名获救者，以及21处临时安置中心中的1,113人；后者并不代表所有流离失所者。29

《卫报》9月30日刊发的专题报道则将联合国儿童基金会9月22日的评估数据概述为死亡人数超过1,400人、失踪人数超过5,700人。后一个较早的失踪人数已被9月26日的数据取代，并不会因为专题报道的发布日期而更新。失踪人员名单的修订和清理，并不能证明被从名单中移除的每个人是已被找到且幸存，还是已确认死亡。1 34 29

联合国儿童基金会的援助规划覆盖人数是另一项独立指标：尼泊尔6个县17个市镇的84,270人，其中包括32,021名儿童。这不是受影响人口总数，也没有给出何时不再需要援助。虽然灾害波及西藏，但此处的产科和援助数据均指尼泊尔。34

灾害始于朗塘里隆山脉发生的一场岩石与冰雪雪崩，随后演变成碎屑流，沿波特科西河和特里苏里河水系而下。测得的5.2级地震信号被认定是山体崩塌本身，并非由此证明存在触发灾害的构造地震。河道沿线被毁的道路和桥梁仍是产科紧急状况的一部分：通往医疗服务的道路被毁，护理就无法得到可靠保障。24

播出原貌 31 行
  1. On September 5, we reported 1,331 confirmed deaths in Nepal. The latest corroborated tally is 1,453, with 5,285 people still missing. An estimated 5,030 pregnant women were affected, while damaged roads and crowded shelters complicate care more than a month after the flood. Can emergency maternity care reach women before delivery, and do mothers and newborns have safe places to return to?
  2. The latest established government package is dated September 26, not today. The immediate maternal-health emergency extends beyond surviving the water: women need food, sanitation, transport, functioning clinics and somewhere safe to recover.
  3. Pooja Pariyal and her three-month-old daughter spent three days stranded at Trishuli hospital. Pooja, 21, had left her rented home in Trishuli bazaar at seven-thirty on August 26 for Ridhika's vaccination and a routine postnatal appointment. Her recollection places the destruction of her neighbourhood about ninety minutes later; that is approximate, not an independently measured flood-arrival time. The appointment meant they were away from home when the water arrived.
  4. About fifty patients, including five newborns, and medical staff were trapped. During daylight they climbed to the roof to watch for helicopters; at night they returned to the wards. Pooja slept little. She had nothing to clean Ridhika's soiled clothes, and hunger reduced her milk supply in her own experience. That is one mother's experience, not a measured rate of breastfeeding problems across the disaster.
  5. An army helicopter evacuated the group on the fourth day. Ridhika was then diagnosed with pneumonia. Her treatment and subsequent recovery remain unknown. Pooja lost everything in her rented home. Her individual circumstances leave her ineligible for government compensation; that does not establish a rule excluding every tenant. Returning to her parents is only a possibility, dependent on their being rehoused too.
  6. Pooja and Ridhika are living among about 125 people sharing twenty-five tents at Lamibagaichha holding centre in Bidur, a couple of miles south of Trishuli. Another survivor, Kalpana Nepali, is staying in a Nuwakot hall with about eighty displaced people. Men, women and children sleep together on floor mats and bedding. The shared toilet is not separated by sex, and queues make access difficult.
  7. Kalpana, 23, was seven months pregnant with her first baby when the flood struck Rasuwa. She was making soup when her husband, working at a hydropower tunnel, called just after eight-thirty and told her to reach higher ground. He escaped near the tunnel entrance. She walked uphill, fainted, and next remembers water on her face in a helicopter with ten other people. Afterward, she ate a whole packet of bread. Her doctor had advised eating every four hours.
  8. Kalpana does not know whether that doctor survived. The doctor is unnamed, and neither survival nor death has been established. That uncertainty belongs to Kalpana's experience, not Pooja's. Her baby is due in November. Her plan is to deliver at Nuwakot health centre and then return to the shared hall.
  9. Renuka Nepali had seconds to escape with her twelve-year-old son and eight-month-old daughter. The 27-year-old carried the baby and grabbed her son's hand while people ran from the flood. Her son was bruised during their escape. A heavily pregnant friend and neighbour could not keep up; Renuka remembers her being swallowed by the water while trying to grab something to hold on to. The friend's recovery or formal identification has not been independently established. Renuka is now in the same shelter as Pooja, wearing donated clothes with her children.
  10. Pregnant and breastfeeding women may face greater risks of trauma, shock and postpartum depression after experiences like these. That is a warning about risk, not a diagnosis of these survivors or a measured prevalence of depression. Hunger, disrupted infant care, shared sanitation, lost housing and uncertainty about loved ones continue after evacuation.
  11. The missing list fell from 6,150 on September 16 to 5,285 on September 26, but that does not establish what happened to each person removed. Lists were being revised and cleaned. The intervening snapshots counted 5,875 missing on September 21 and 5,705 on September 22. These are changing records, not a reconciled progression of rescues or confirmed deaths.
  12. The corresponding death snapshots were 1,403, then 1,411, then 1,451, and finally 1,453. The September 30 survivor account uses the September 22 assessment, rounding it to more than 1,400 dead and more than 5,700 missing. Its publication today does not turn that older missing-person figure into a new tally. No newer fully corroborated official package has been established for this report.
  13. The September 26 death count comprises 1,451 recovered bodies and two people who died in treatment. Only 112 of the 1,453 victims had been identified and handed over. The same package counted 13,795 people rescued and 1,113 people in twenty-one holding centres: 805 in Rasuwa, 187 in Nuwakot and 121 in Dhading. Those centres do not account for everyone displaced.
  14. Our August 31 report counted 919 deaths across Nepal and Tibet and 4,793 missing. Our September 5 report counted 1,331 confirmed deaths in Nepal and more than 5,000 missing. Those were dated stages, with different geographic coverage, not figures to use now. The disaster crossed the border, but the maternity-care and assistance figures in this account concern Nepal.
  15. The last established Tibet-side split was forty-three dead and 519 missing in early-to-mid September, following an earlier split of three dead and 558 missing. Those are not current September 30 counts. Adding the later Tibet split to Nepal's September 26 package would produce about 1,496 dead and 5,804 missing, but would combine different reporting dates rather than create a joint official total.
  16. The humanitarian assistance caseload is 84,270 people, including 32,021 children, across seventeen municipalities in six districts. That is the basis of the rounded more-than-eighty-thousand figure. Broader estimates of roughly 310,000 to 352,000 affected people use a larger population base. They do not measure the same thing, and neither figure establishes when support will no longer be needed.
  17. A rock-and-ice avalanche fell roughly 1,200 metres before becoming a destructive debris flow. The August 26 collapse began around eight-thirty to eight-forty local time at the Langtang Lirung massif. Calling it simply a glacier collapse leaves out that mechanism. Its magnitude-five-point-two seismic signal came from the collapse itself, not proof of a triggering tectonic earthquake.
  18. The debris flow struck an approximately seventy-two-kilometre corridor in Nepal, sweeping away villages, homes, roads and bridges. It travelled through Lhende Khola into the Bhote Koshi and Trishuli river system and also struck Gyirong Port on the Tibet side. The destroyed connections now separate some women from the hospitals that can treat them.
  19. An estimated 750 emergency obstetric or newborn-care needs are projected over a three-month planning period. That is not 750 observed complication cases. The estimated 5,030 pregnancies also come from a population-based emergency calculation, not a census of identified women. An earlier projection of about 250 emergency-care needs was replaced by the later 750 estimate; the two must not be added.
  20. The earlier population base was about 310,076 affected people, producing estimates of 86,820 women of reproductive age and 4,430 pregnancies. An early local planning briefing covered fifteen affected units in Rasuwa, Nuwakot and Dhading and projected about 492 births and seventy-four emergency obstetric cases in the coming month. A later base of 352,000 affected people produced 98,560 women of reproductive age and 5,030 pregnancies. These are successive planning versions, not additional groups of women.
  21. A forecast puts 550 deliveries in the following month. In a September 30 publication, that reads as October, but the interview date and whether the estimate was recalculated specifically for October are unknown. Kalpana's November due date is a separate individual fact. Coverage of those expected births is not yet confirmed: the forecast does not establish appointments, completed antenatal checks, transport or reserved delivery places.
  22. The described arrangement assigns pregnant women in shelters to the nearest functioning health centre using estimated delivery dates. It also provides for airlifting complicated or high-risk pregnancies to a Kathmandu maternity hospital one week before delivery is due. Both the 550-birth forecast and that week-before-delivery arrangement rest on a single account. No matching published operational table for the forecast or system-wide airlift protocol has been established. The arrangement is not proof that every eligible woman has received, or will receive, a flight.
  23. A mother and newborn have been airlifted from Gatlang health post to Paropakar Maternity and Women's Hospital in Kathmandu. But weeks after the flood, isolated communities including Gatlang and Aamachhodingmo still lacked access to ultrasound or antenatal checks because roads were cut.
  24. Nine women had delivered at Trishuli Hospital since the disaster by September 6. Four maternity patients had been referred elsewhere, two by army helicopter and two by ambulance. A separate September 6 snapshot at Paropakar recorded seventeen referred patients from Rasuwa and Nuwakot, with thirteen pregnant or postpartum women discharged. Seventeen was the referral count, not the discharge count. The remaining patients were described as stable.
  25. A referral journey that previously took about two hours to Kathmandu was taking seven to eight hours via Galchhi in a September 2 snapshot. A differently specified Bidur–Galchhi–Betrawati route took about five hours in another account. These are dated, route-specific descriptions, not one confirmed travel time today. Functioning hospitals alone cannot solve delayed access.
  26. Two mobile units provided a partial answer through Marie Stopes International in the August 28 to September 3 response period. A Nuwakot team of one doctor and three nurses delivered antenatal and postnatal care, family planning, gynaecological care, psychosocial support, infection management and referrals for high-risk pregnancies and obstetric complications.
  27. Mobile-service reach exceeded nine hundred people by mid-September; nine hundred is only the lower bound. The earlier snapshot counted 146 sexual and reproductive-health and gender-based-violence contacts, sixty-nine percent female. The September 4 to 9 snapshot counted 472 people, including 356 women and girls, after expansion to Bidur and Kispang across nine mobile-team sites. These overlapping snapshots must not be added, and they are not counts of pregnant women receiving care.
  28. The exact mid-September cutoff is unspecified. More than half of those in the later reach figure were women, with psychosocial support reaching hundreds. A related September 4 to 9 service summary recorded 145 psychological-first-aid contacts.
  29. The material response included 2,800 dignity and adolescent kits, initially broken down as two thousand dignity kits and eight hundred Kishori kits, plus three hundred tarpaulins. The September 4 to 9 record specifies dispatch through government and Nepal Red Cross channels. Earlier and later descriptions use delivered or provided wording, but dispatch alone does not establish receipt by every intended recipient. Adolescent kits are part of the combined total, not an extra quantity to add.
  30. Four women-friendly spaces were established during September 4 to 9, offering information, psychosocial support and referrals. Pooja also received a dignity kit. That is meaningful assistance, but does not establish restored housing or comprehensive postnatal care.
  31. Some women have received deliveries, referrals, mobile care, emergency flights, supplies and protective spaces. That answers part of the care question. It does not establish that the 550 expected deliveries are covered, that every high-risk pregnancy has transport, or that mothers returning from hospital have safe accommodation. Ridhika's recovery remains unknown. Kalpana's stated delivery plan still leads back to a hall shared with about eighty people.

来源

173 个来源89 家媒体6 篇通稿

来源地图

追溯本篇报道的依据。图谱展示其关联；下方链接可打开本文引用的来源。

来源图谱将在您阅读时加载。

探索完整的新闻编辑室图谱 ↗

译文更新于

修订记录

  1. r1首次发布。