产科膀和阴道抽作为一个国际公共卫生问题
1Department of Obstetrics-Gynecology, Washington University School of Medicine, St Louis, MO 63110, USA. walll@wustl.edu
Lancet (London, England)
|October 3, 2006
概括
膀和阴道之间的开口 - - 膀和阴道 - - 破坏了发展中国家的妇女,主要是由于受阻的分娩并发症. 提高认识和获得产科服务对于对抗这种可预防的疾病至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 全球健康 全球健康
- 手术病理学手术病理学
背景情况:
- 阴道囊 (VVF) 是膀和阴道之间的异常开口,导致尿失禁.
- 这是一种发达国家罕见的并发症,但在发展中国家很常见,通常是长期阻碍劳动的结果.
- 据估计,低收入国家的300万名妇女患有未修复的抽,非洲每年有3万至13万例新发病例.
研究的目的:
- 审查在受阻分娩中囊性阴道的病理生理学.
- 描述VVF对发展中国家妇女生活的深刻影响.
- 为解决这个被忽视的全球健康问题提出政策建议.
主要方法:
- 关于阴囊囊病理生理学和流行病学的文献综述.
- 对受影响妇女的社会和健康后果的分析.
- 根据当前的挑战制定政策建议.
主要成果:
- 长期阻碍劳动是发展中国家VVF的主要原因.
- 这种情况导致严重的社会耻辱,孤立,并降低了受影响妇女的生活质量.
- 在公众和医疗界中,对VVF的认识显著缺乏.
结论:
- 解决膀性阴道抽症需要采取多方面的方法,包括公众宣传活动.
- 在国家和国际议程上提升妇女生殖健康是必不可少的.
- 扩大获得紧急产科护理的机会和建立专门的管修复中心是关键的干预措施.
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