まとめ
spontaneous abortion (自発的な流産) の後の母子の死亡は,稀ではあるが,懸念事項である. 主要な危険因子には,母親の高齢化,少数民族の人種,未婚の状態が含まれるが,妊娠2期にリスクが高くなる.
科学分野:
- 産婦人科と産婦人科を担当しています.
- 母親の健康について
- 公共衛生の監視 公共衛生の監視
背景:
- 自発的中絶後の母子の死亡率は,十分に文書化されていない.
- 傾向と原因を理解することは,公衆衛生の介入にとって極めて重要です.
研究 の 目的:
- トレンドを分析し,自発的中絶後の母親の死因の危険因子を特定する.
- これらの死亡率に対する子宮内置器 (IUD) の影響を評価する.
主な方法:
- 1972年から1980年の間に疾病管理センター (CDC) に報告された122件の妊産婦死亡の遡及分析.
- 死因による死亡の分類 (感染,出血,栓塞など) IUDの使用と関連している.
- 人口統計と妊娠年齢の危険因子の検討.
主要な成果:
- 1972年から1980年にかけて,IUDに関連していない母性死亡と死亡率の減少が観察されました.
- 感染症は,IUDに関連していない死亡 (48%) の主要な原因であり,次いで出血 (21%) であった.
- 危険因子には,母親の高齢年齢 (>29歳),少数民族の人種,未婚の地位が含まれていました. 死は第2 trimester (妊娠12~19週) でより一般的であった.
結論:
- spontaneous abortion (自発的中絶) に続く母子の死亡は,まれであるが,注意が必要である.
- 高齢者,マイノリティー,未婚の女性は高リスクに直面します.
- 第二 trimesterの自発的中絶は,最初の trimesterの中絶と比較して,死亡のリスクが著しく高い.
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