死亡出生:在哪里? 在哪里? 在什么时候? 为什么?为什么? 如何使数据计数?如何使数据计数?
Joy E Lawn1, Hannah Blencowe, Robert Pattinson
1Saving Newborn Lives/Save the Children, Cape Town, South Africa. joylawn@yahoo.co.uk
Lancet (London, England)
|April 19, 2011
概括
每年发生数百万例死产,主要发生在低收入国家,这凸显了母亲和儿童健康监测和数据收集的关键差距. 改进的数据和分类系统对于全球预防死产的努力至关重要.
科学领域:
- 全球卫生健康 全球卫生健康
- 孕产妇和儿童的健康
- 围产期流行病学 围产期流行病学
背景情况:
- 死产是一个被忽视的全球卫生问题,在很大程度上被排除在主要的国际卫生指标和目标之外.
- 据估计,2008年全球发生了265万例死产,其中98%发生在低收入和中等收入国家.
- 不平等存在,撒哈拉以南非洲和南亚的农村地区的死产率更高.
研究的目的:
- 突出全球死产问题的隐形性和规模.
- 确定与死胎相关的主要人口和地理因素.
- 倡导改善死胎的数据收集,分类和报告.
主要方法:
- 对2008年全球死胎估计的分析,按出生体重和妊娠年龄分层.
- 检查死胎的地理和人口分布,包括农村和城市环境.
- 审查现有的死胎数据收集和分类系统.
主要成果:
- 2008年估计有超过265万例死产,其中98%发生在低收入和中等收入国家.
- 在死产率和获得熟练分娩服务的机会方面,农村和城市存在显著的差异.
- 据估计,每年有119万例产后死产,通常与产科紧急情况有关.
结论:
- 死产需要迫切的全球关注,并纳入健康监测框架.
- 解决农村地区的差异和改善获得产科护理的机会至关重要.
- 标准化分类和改善生命记录是有效的死产预防策略的必要条件.
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