生殖健康和出生结果研究的前景
1Department of Obstretics and Gynecology, University of Alabama at Birmingham School of Medicine, 618 S 20th St, Birmingham, AL 35233-7333, USA. Robert.Goldenberg@ccc.uab.edu
JAMA
|February 15, 2001
概括
尽管在生育控制和降低死亡率方面取得了进展,但早产率和相关的长期神经障碍仍然保持不变. 更好地理解和获得干预措施可以减少出生结果的差异.
科学领域:
- 生殖健康 生殖健康
- 新生儿医学 新生儿医学
- 公共卫生 公共卫生
背景情况:
- 近几十年来,在生育控制和减少孕产妇,胎儿和婴儿死亡率方面取得了重大进展.
- 然而,早产和相关的长期神经障碍的发生率并没有改善.
- 现有的有效干预措施可以解决生殖健康和出生结果的差异.
研究的目的:
- 突出减少早产率和相关的长期神经障碍的持续挑战.
- 强调增加知识的潜力和改善对减轻不良分娩结果的干预措施的准入.
- 解决全球和美国的生殖健康和出生结果的差异.
主要方法:
- 综述生殖健康和产周护理方面的进展.
- 对早产率和新生儿神经障碍的趋势的分析.
- 检查不同地区和不同族群之间出生结果的差异.
主要成果:
- 在生育控制,不孕症治疗和减少死亡率方面取得了重大改进.
- 过早出生率和长期的神经障碍并没有下降.
- 在生殖健康和出生结果方面仍然存在显著的差异.
结论:
- 对早产机制和新生儿损伤病理生理学的知识增加,为未来减少死亡率和长期损伤提供了希望.
- 更好地获得现有的有效干预措施对于减少出生结果的全球和国家差异至关重要.
- 解决这些差异需要关注公平获得护理和基于证据的干预措施.
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