通过使用避孕药来避免产妇死亡:172个国家的分析
Saifuddin Ahmed1, Qingfeng Li, Li Liu
1Department of Population, Family and Reproductive Health, Bill and Melinda Gates Institute for Population and Reproductive Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA. sahmed@jhsph.edu
Lancet (London, England)
|July 13, 2012
概括
避孕药的使用显著减少了孕产妇死亡率,在2008年避免了272,040例死亡. 满足未满足的计划生育需求可以防止每年额外的104,000例孕产妇死亡.
科学领域:
- 全球健康 全球健康
- 生殖健康 生殖健康
- 人口统计学 人口统计学
背景情况:
- 计划生育对安全母婴倡议至关重要,旨在减少发展中国家的孕产妇死亡率.
- 意外怀孕和未满足的避孕需求仍然是全球重大健康挑战.
研究的目的:
- 量化使用避孕药对孕产妇死亡率的影响.
- 估计如果解决未满足的避孕需求,可能减少孕产妇死亡率.
主要方法:
- 使用反事实建模 (模型I和模型II) 采用MMEIG,联合国世界避孕药使用和联合国世界人口前景数据.
- 通过使用避孕药来避免估计的孕产妇死亡人数,以及在167-172个国家满足未满足需求的影响.
主要成果:
- 据估计,使用避孕药在2008年避免了272,040例孕产妇死亡,减少了44%.
- 如果没有避孕措施,孕产妇死亡人数将是2008年总数的1.8倍.
- 满足未满足的避孕需求可以防止每年额外的104,000例孕产妇死亡 (减少29%).
结论:
- 避孕是一种高效的初级预防策略,可降低孕产妇死亡率.
- 解决未满足的避孕需求对于进一步降低发展中国家的孕产妇死亡率至关重要.
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