加强与怀孕相关死亡率的监测--马里兰州,1993-1998年
1Vital Statistics Administration, Maryland Department of Health and Mental Hygiene, 201 W Preston St, Baltimore, MD 21201, USA. horoni@dhmh.state.md.us
JAMA
|March 23, 2001
概括
与怀孕相关的死亡是一个严重的问题. 谋杀成为孕妇或最近怀孕的妇女的主要死亡原因,在马里兰州的一项研究中超过了心血管问题.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 孕产妇健康 孕产妇健康
背景情况:
- 与怀孕相关的死亡率对家庭和社区产生重大影响.
- 了解这些死亡的规模和原因对于制定预防策略至关重要.
研究的目的:
- 确定与怀孕相关的死亡人数和原因.
- 利用增强的监控技术进行全面的数据收集.
主要方法:
- 在马里兰州 (1993-1998) 的死亡证明,出生/胎儿死亡记录和验尸医师记录的回顾性,横截面分析.
- 妊娠相关死亡被定义为怀孕期间或产后1年内任何死亡.
主要成果:
- 使用多个数据源确定了247例与怀孕相关的死亡.
- 谋杀是主要原因 (20%),其次是心血管疾病 (19%).
- 通过数据链接和法医审查加强监测显著增加了确定性.
结论:
- 为了全面识别与怀孕相关的死亡,需要整合多个数据来源,并将监测期延长到产后的一年.
- 谋杀是孕妇或最近怀孕的妇女的主要死亡原因.
- 扩大孕妇死亡率监测的范围,突出了母亲护理中以前被忽视的因素.
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