死亡出生:2020年的愿景
Robert L Goldenberg1, Elizabeth M McClure, Zulfiqar A Bhutta
1Department of Obstetrics and Gynecology, Drexel University, Philadelphia, PA 19102, USA. rgoldenb@drexelmed.edu
Lancet (London, England)
|April 19, 2011
概括
死产是全球主要的健康问题,每年有数以百万计的可预防的第三季度死产,主要发生在低收入国家. 增加认识,数据收集和研究投资对于改善母亲和新生儿健康至关重要.
科学领域:
- 公共卫生 公共卫生
- 孕产妇和新生儿健康
- 全球健康差距的差异
背景情况:
- 死产每年影响全球近300万个第三季度怀孕,其中98%发生在低收入和中等收入国家.
- 在产前期发生超过100万例死产,突出显示在产妇和新生儿护理系统内可预防的原因.
- 尽管死亡出生很普遍,但仍未被认为是公共卫生问题,数据报告有限.
研究的目的:
- 倡导将死胎纳入国际卫生报告和倡议中.
- 敦促各国制定和实施孕产妇和新生儿健康计划,优先考虑减少死产.
- 呼吁增加对死产研究的投资,特别是在低收入和中等收入国家.
主要方法:
- 在全球卫生议程中倡导承认死胎的政策倡导.
- 关于国家母亲和新生儿健康战略的建议.
- 呼吁加强生命统计和对死胎的监测系统.
主要成果:
- 死产是一个重要的,但未被报告的,不良的怀孕结果.
- 很大一部分死产是可以预防的,尤其是在资源有限的环境中.
- 目前的国际卫生框架不充分解决死胎问题.
结论:
- 必须承认死产是一个关键的公共卫生问题,需要全球立即关注.
- 专注于母亲和新生儿健康的综合方法,加上强大的数据收集,对于预防死产是必不可少的.
- 协作努力和增加研究资金对于应对死产疫情至关重要.
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