死産:なぜ死産が重要なのか
J Frederik Frøen1, Joanne Cacciatore, Elizabeth M McClure
1Division of Epidemiology, Norwegian Institute of Public Health, Oslo, Norway. frederik.froen@fhi.no
Lancet (London, England)
|April 19, 2011
まとめ
死産は世界的な健康危機であり,毎年何百万人もの母親と赤ちゃんに影響を与えています. このシリーズは,世界保健の議題に死産を認識し,母親と新生児の成果を改善するために社会的汚名を解決する必要性を強調しています.
科学分野:
- グローバル・ヘルス グローバル・ヘルス
- 母親の健康について
- перинатаル流行病学について
背景:
- 死産は,重要な,しかししばしば見過ごされている,世界的な健康問題を表しています.
- 母親と新生児の健康に関するイニシアチブでは,母と家族に深刻な影響を与えるにもかかわらず,死産はしばしば除外されます.
- 死産の認識とデータの欠如は,効果的な世界保健政策と介入を妨げています.
研究 の 目的:
- 政策,コミュニティの認識,およびデータの含有を含む,死産の現在の世界的な状態を評価する.
- 世界保健の議題とイニシアチブに死産の取り入れを提唱する.
- 死産を経験する母親に影響を与える社会的,文化的要因を強調する.
主な方法:
- グローバル保健政策の分析と死産に関するデータの含有.
- 135カ国の死産に関するコミュニティの認識に関する調査.
- 死産に関連した文化的信念と社会的汚名をレビューする.
主要な成果:
- 死産はほとんど計上されず,疾病の世界的な負担や国連のミレニアム開発目標などの主要な世界的な健康指標から除外されています.
- 死産を経験する母親は,しばしば社会的汚名,非難,疎外に直面し,亡くなった乳児に対する認識や儀式的な慣行は限られている.
- 死産を母親の罪や超自然的な原因に起因する信念が広く普及しており,影響を受けた母親の疎外に貢献しています.
結論:
- 死産の予防と介護を優先させるための強力な世界的な呼びかけが不可欠です.
- 死産予防を,母体および新生児死亡予防戦略と統合することが不可欠です.
- 死産予防の原因と実現可能な解決策に関する知識のギャップに対処することは,医療従事者にとって重要な優先事項です.
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