生殖健康と出産の結果に関する研究の見通し
1Department of Obstretics and Gynecology, University of Alabama at Birmingham School of Medicine, 618 S 20th St, Birmingham, AL 35233-7333, USA. Robert.Goldenberg@ccc.uab.edu
JAMA
|February 15, 2001
まとめ
妊娠抑制の進歩と死亡率の低下にもかかわらず,早産率と関連する長期的な神経学的障害は変わらないままです. 介入への理解とアクセスの改善は,出生結果の格差を減らすことができます.
科学分野:
- 生殖器保健は,生殖器の健康についてです.
- 新生児医学 新生児医学
- 公衆衛生は公衆衛生である.
背景:
- 最近の数十年で,生育制御と母,胎児,乳児死亡率の削減において,著しい進展がありました.
- しかし,早産率と関連する長期的な神経障害は改善していない.
- 既存の効果的な介入は,生殖健康と出生結果の格差に対処することができます.
研究 の 目的:
- 早期出産率とそれに関連する長期的な神経障害の削減における持続的な課題を強調する.
- 有害な出産結果を軽減するための知識の増大と介入へのアクセスの改善の可能性を強調する.
- 世界的に,そして米国内で,生殖健康と出生結果の格差に対処するためです.
主な方法:
- 生殖健康と生育周介護における進歩のレビュー.
- 胎児の早産率と新生児の神経障害の動向の分析.
- 異なる地域と民族間の出生結果の格差の調査.
主要な成果:
- 生育制御,不妊治療,および死亡率の減少において大きな改善が達成されています.
- 胎児の早産率や長期的な神経障害は減少していない.
- 生殖健康と出産の結果において,依然として大きな格差が残っている.
結論:
- 産前出産のメカニズムと新生児損傷の病理生理学に関する知識の増加は,将来的に死亡率と長期的な障害の減少への希望を提供します.
- 既存の効果的な介入へのアクセスの改善は,出生結果のグローバルと国内の格差を減らすために不可欠です.
- これらの格差に対処するには,ケアへの平等なアクセスと,証拠に基づいた介入に焦点を当てることが必要です.
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