死产:在高收入国家前进的道路
Vicki Flenady1, Philippa Middleton, Gordon C Smith
1Mater Medical Research Institute, South Brisbane, QLD, Australia. Vicki.Flenady@mmri.mater.org.au
Lancet (London, England)
|April 19, 2011
概括
在高收入国家,死产率已经停滞不前. 解决社会经济差异,可修改的风险因素,如肥胖和吸烟,以及改善预孕和产前护理对于预防至关重要.
科学领域:
- 围产期健康 围产期健康
- 公共卫生 公共卫生
- 产科 产科 产科 产科 产科
背景情况:
- 高收入国家的死胎率在经历了历史性的显著下降后稳定下来.
- 现有的死产率变化表明,可能会进一步减少.
- 社会经济差异,胎盘病理,感染和可修改的孕产妇因素都会导致死产.
研究的目的:
- 审查当前的趋势,并确定影响高收入国家死产率的关键因素.
- 突出干预和研究领域,以减少死产.
- 强调需要改进数据收集和标准化定义.
主要方法:
- 审查现有的文献和有关死胎趋势和风险因素的数据.
- 分析与社会经济劣势相关的差异.
- 识别可修改的风险因素,包括超重,肥胖,吸烟和晚年母亲的年龄.
主要成果:
- 通过解决社会经济差异和改善生活条件,可以进一步减少死产.
- 胎盘病理,感染,超重,肥胖,吸烟和母亲的晚年是显著的危险因素.
- 无法解释的死胎仍然是预防工作的挑战.
结论:
- 文化上适当的预孕和可获得的优质产前护理至关重要.
- 国家围产死亡率审计和标准化死胎调查 (包括尸检和胎盘组织病理学) 可以降低发病率.
- 对胎盘功能障碍和孕产妇肥胖的查和干预的研究是优先考虑的.
更多相关视频
09:51Model Surgical Training: Skills Acquisition in Fetoscopic Laser Photocoagulation of Monochorionic Diamniotic Twin Placenta Using Realistic Simulators
Published on: March 21, 2018
04:18Modeling Ascending Vaginal Infection, Preterm Birth, and Neonatal Morbidity in Mice
Published on: October 10, 2025
相关概念视频
Methods Of Healthcare Delivery System
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Infertility in Females
Female infertility is defined as the inability to conceive after a year of regular, unprotected intercourse and affects about 10–15% of couples worldwide. The primary cause of female infertility is ovulatory disorders, which hinder the release of eggs. These disorders can be classified as hypothalamic amenorrhea, polycystic ovarian syndrome (PCOS), premature ovarian failure, and hyperprolactinemic anovulation disorders.
Endometriosis, a condition characterized by abnormal growth of endometrial...
Endometriosis, a condition characterized by abnormal growth of endometrial...
Fetal Circulation
Fetal circulation is a unique system that facilitates the exchange of gases, nutrients, and waste products between the developing fetus and the mother. This intricate process takes place through a special organ called the placenta.
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...
Intrauterine Drug Delivery Systems
Controlled-release systems for intravaginal and intrauterine drug delivery have been developed primarily for the administration of contraceptive steroid hormones. These delivery routes circumvent first-pass hepatic metabolism, thereby enhancing bioavailability and allowing for reduced systemic dosages compared to oral administration. Such approaches contribute to improved therapeutic efficacy and patient compliance, particularly in long-term contraceptive regimens.Intravaginal Drug Delivery...
Infertility in Males
Male infertility affects millions of couples worldwide, arising from various factors that impact different stages of the reproductive process. An endocrine imbalance resulting from conditions like hypogonadism, Klinefelter syndrome, or pituitary disorders can disrupt hormone levels and reduce sperm production. Testicular defects, such as tumors, cryptorchidism, atrophic testes, abnormal sperm morphology, and low sperm count or motility, may arise due to genetic factors, structural...
Regression Toward the Mean
Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when researchers try to extrapolate results...
