死産:2020年のビジョン
Robert L Goldenberg1, Elizabeth M McClure, Zulfiqar A Bhutta
1Department of Obstetrics and Gynecology, Drexel University, Philadelphia, PA 19102, USA. rgoldenb@drexelmed.edu
Lancet (London, England)
|April 19, 2011
まとめ
死産は,世界の主要な健康問題であり,毎年,主に低所得国において,何百万もの予防可能な第3 trimester 死産が発生しています. 認知度向上,データ収集,研究投資は,母親と新生児の健康改善に不可欠です.
科学分野:
- 公衆衛生は公衆衛生である.
- 母親と新生児の健康について
- 世界保健の格差
背景:
- 死産は,毎年,世界で300万件近い第3期妊娠に影響を及ぼし,その98%は低所得国や中所得国で発生しています.
- 100万件以上の死産が産前期間に発生し,妊婦と新生児のケアシステム内で予防可能な原因を強調しています.
- 発症率が高いにもかかわらず,死産は公衆衛生上の問題として認識されず,データ報告が限られている.
研究 の 目的:
- 国際保健報告書とイニシアチブに死産を含むことを提唱する.
- 各国に対し,母体および新生児の健康に関する計画を策定し,実施するよう促し,死産の減少を優先させる.
- 死産研究への投資を増やすよう呼びかけ,特に低所得国および中所得国において.
主な方法:
- グローバル保健アジェンダにおける死産の承認のための政策提唱.
- 妊婦と新生児の健康に関する国家戦略に関する勧告.
- 生命統計の強化と死産の監視システムを要求する.
主要な成果:
- 死産は,妊娠の重要な,しかし報告されていない,有害な結果です.
- 死産の有意な割合は,特に資源が限られた環境では,予防可能である.
- 現在の国際保健の枠組みでは,死産を適切に扱っていない.
結論:
- 死産は,緊急の世界的な注意を必要とする重大な公衆衛生問題として認識されなければならない.
- 母親と新生児の健康に焦点を当てた統合的アプローチと,堅実なデータ収集は,死産の予防に不可欠です.
- 共同の努力と研究費の増加は,死産の流行に対処するために不可欠です.
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