孕产妇死亡率:谁,什么时候,在哪里,以及为什么.
Carine Ronsmans1, Wendy J Graham,
1Department of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK. carine.ronsmans@lshtm.ac.uk
Lancet (London, England)
|October 3, 2006
概括
产妇死亡风险在全球范围内有很大差异,最贫穷的地区面临的风险要高得多. 解决这种全球健康差异需要针对弱势群体进行有针对性的干预,以取得重大进展.
科学领域:
- 全球健康 全球健康
- 生殖健康 生殖健康
- 人口统计学 人口统计学
背景情况:
- 孕产妇死亡风险显示出全球极端的差异,在最贫穷的地区,死亡率为6分之一,而在北欧,死亡率为3万分之一.
- 这种差异是实现千年发展目标的重大障碍,即减少孕产妇死亡率.
- 在低收入国家,减少产妇死亡率的进展受到卫生系统疲软,高生育率和数据不足的阻碍.
研究的目的:
- 突出全球孕产妇死亡风险的巨大差异.
- 确定在高风险国家减少孕产妇死亡率的挑战.
- 强调需要有针对性的干预措施,以解决孕产妇死亡风险的不平等问题.
主要方法:
- 全球孕产妇死亡率数据和风险因素的分析.
- 全球不同地区的孕产妇死亡率的比较.
- 确定关键时期和产妇死亡原因.
主要成果:
- 产妇死亡率集中在分娩,分娩和产后期间.
- 产科出血是导致母亲死亡的主要医疗原因.
- 不安全的堕胎和艾滋病毒/艾滋病是特定人群中孕产妇死亡的重要原因.
结论:
- 减少孕产妇死亡率的实质性进展需要针对弱势群体,包括农村和贫困人口的有针对性的干预措施.
- 对于高风险国家来说,解决诸如健康系统疲软和高生育率等潜在因素至关重要.
- 减少孕产妇死亡风险的不平等对于全球健康公平至关重要.
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