死产:为什么它们很重要
J Frederik Frøen1, Joanne Cacciatore, Elizabeth M McClure
1Division of Epidemiology, Norwegian Institute of Public Health, Oslo, Norway. frederik.froen@fhi.no
Lancet (London, England)
|April 19, 2011
概括
死产是一个全球性的健康危机,每年影响数百万的母亲和婴儿. 本系列文章强调,迫切需要在全球卫生议程上承认死产,并解决社会耻辱,以改善孕产妇和新生儿的健康状况.
科学领域:
- 全球健康 全球健康
- 孕产妇健康 孕产妇健康
- 围产期流行病学 围产期流行病学
背景情况:
- 死产是一个重要的,但往往被忽视的全球健康问题.
- 孕产妇和新生儿健康倡议经常排除死产,尽管它们对母亲和家庭有深远的影响.
- 缺乏对死胎的认可和数据,阻碍了有效的全球卫生政策和干预.
研究的目的:
- 评估目前的死胎的全球状况,包括政策,社区认知和数据纳入.
- 倡导将死胎纳入全球卫生议程和倡议中.
- 突出影响母亲死产的社会和文化因素.
主要方法:
- 对全球卫生政策的分析和对死胎的数据纳入.
- 在135个国家对社区对死胎的看法进行了调查.
- 审查与死胎相关的文化信仰和社会耻辱.
主要成果:
- 死亡出生在很大程度上没有被计算,并被排除在全球主要健康指标中,如全球疾病负担和联合国千年发展目标.
- 经历死产的母亲经常面临社会耻辱,责备和边缘化,对已故婴儿的认可或仪式实践有限.
- 人们普遍认为死产是由于母亲的罪或超自然原因造成的,这有助于边缘化受影响的母亲.
结论:
- 迫切需要一个强有力的全球行动呼吁,以优先考虑死产预防和护理.
- 将死产预防与预防孕产妇和新生儿死亡的战略结合起来是必不可少的.
- 解决关于预防死产的原因和可行的解决方案的知识差距是卫生专业人员的首要任务.
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