妊産婦死亡の原因に関するWHOの分析:体系的なレビュー
Khalid S Khan1, Daniel Wojdyla2, Lale Say3
1Academic Department of Obstetrics and Gynaecology, University of Birmingham, Birmingham, UK.
Lancet (London, England)
|April 4, 2006
まとめ
産婦人死亡率を世界的に減らすためには,その原因を理解する必要がある. 出血および高血圧疾患は,開発途上国における主要な原因であり,有望な生殖保健政策が必要である.
科学分野:
- グローバル・ヘルス グローバル・ヘルス
- 生殖器保健は,生殖器の健康についてです.
- エピデミオロジー エピデミオロジー
背景:
- 妊産婦死亡率の削減は,世界の開発目標の1つである.
- 妊産婦死亡の原因に関する信頼できるデータは,効果的な保健政策にとって極めて重要です.
- このシステマティック・レビューは,妊産婦死亡の原因の分布を扱っています.
研究 の 目的:
- 妊産婦死亡の原因の分布を体系的に見直し,世界的に決定する.
- 地域の変動を分析し,母子の死亡率の主な原因を特定する.
- 根拠に基づいた生殖保健政策とプログラムに関する情報を提供すること.
主な方法:
- 妊産婦死亡35197例を代表する34のデータセットの体系的なレビュー.
- 死因の共同原因 (出血,高血圧疾患,セプシス,中絶など) の分析 ) を実施する.
- 地域的および方法論的な異質性を評価するために,個々の原因の検討.
主要な成果:
- 妊産婦死亡原因の地域差は大きく見られた.
- アフリカとアジアでは出血が主な原因であり,ラテンアメリカとカリブ海では高血圧疾患でした.
- 中絶とセプシスは,特定の地域,特に開発途上国において,妊産婦の死亡に大きく寄与した.
結論:
- 出血および高血圧疾患は,開発途上国における妊産婦死亡率の主な要因である.
- 調査結果は,地域特有の生殖健康戦略の必要性を強調しています.
- 疾病負担に関する研究の質を向上させることは,将来の推定と介入に不可欠です.
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