世卫组织对产妇死亡原因的分析:系统性审查
Khalid S Khan1, Daniel Wojdyla2, Lale Say3
1Academic Department of Obstetrics and Gynaecology, University of Birmingham, Birmingham, UK.
Lancet (London, England)
|April 4, 2006
概括
在全球范围内减少孕产妇死亡需要了解原因. 出血和高血压疾病是发展中国家的主要原因,需要有针对性的生殖健康政策.
科学领域:
- 全球健康 全球健康
- 生殖健康 生殖健康
- 流行病学 流行病学
背景情况:
- 减少孕产妇死亡率是一个关键的全球发展目标.
- 关于产妇死亡原因的可靠数据对于有效的卫生政策至关重要.
- 本系统性综述探讨了孕产妇死亡原因的分布.
研究的目的:
- 系统地审查和确定全球产妇死亡原因的分布.
- 分析区域差异,并确定孕产妇死亡的主要原因.
- 为基于证据的生殖健康政策和计划提供信息.
主要方法:
- 对34个数据集的系统审查,代表35,197例孕产妇死亡.
- 分析联合死亡原因 (出血,高血压疾病,败血症,堕胎等). ) 的情况.
- 检查个别原因,以评估区域和方法异质性.
主要成果:
- 观察到产妇死亡原因的区域差异很大.
- 出血是非洲和亚洲的主要原因;拉丁美洲和加勒比海的高血压疾病.
- 堕胎和败血症在特定地区,特别是在发展中国家,对孕产妇死亡作出了重大贡献.
结论:
- 出血和高血压疾病是发展中国家孕产妇死亡率的主要驱动因素.
- 调查结果强调需要针对特定区域的生殖健康战略.
- 改善疾病负担研究质量对于未来的估计和干预至关重要.
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