死産:高所得国における行動への呼びかけ
Vicki Flenady1, Aleena M Wojcieszek1, Philippa Middleton2
1Mater Research Institute, University of Queensland, Brisbane, QLD Australia; International Stillbirth Alliance, NJ, USA.
Lancet (London, England)
|January 23, 2016
まとめ
死産率は高所得国によって大きく異なっており,毎年数千人の妊娠中死産を防ぐ可能性があります. 社会経済的な格差をなくし,医療の質を向上させることは,死産を減らすために不可欠です.
科学分野:
- 生後流行病学
- 公衆衛生
- 生殖健康について
背景:
- 高所得の国々では 生死率の変動が続いている.
- 死亡率の格差はこれらの国において顕著である.
- 社会的・経済的不利な状況にある女性は 死産のリスクが2倍になるのです
研究 の 目的:
- 高所得国における死産率の格差を分析する
- 死産減少戦略の重要な分野を特定する.
- 死産リスクに対する社会経済的要因の影響を強調する.
主な方法:
- 高所得国における死産データの比較分析
- ベスト・プラクティス率を採用することで回避された潜在的な死産の推定
- 低水準の介護や社会経済的要因を含む要因の検討
主要な成果:
- 最良の死亡率を採用すれば 2015年には1万9千439人の妊娠中死産を防ぐことができたでしょう
- 未解明の死産は依然として高い割合で,データと調査のギャップを示しています.
- 低水準の介護は 死産の20~30%を占め,特に胎内死産です.
結論:
- 国家間死亡率監査プログラムの実施は不可欠です.
- 恥辱や運命論を減らすこと 悲しみのケアを改善することが重要です
- 貧困層の健康を改善し,不平等に対処するために,地域社会や国レベルのプログラムが必要です.
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