避孕和健康与健康
John Cleland1, Agustin Conde-Agudelo, Herbert Peterson
1London School of Hygiene and Tropical Medicine, London, UK. john.cleland@lshtm.ac.uk
Lancet (London, England)
|July 13, 2012
概括
增加避孕药的使用,通过防止意外怀孕和高风险分娩,显著减少了孕产妇死亡率. 满足未满足的避孕需求可以进一步降低30%的孕产妇死亡率.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 全球健康 全球健康
背景情况:
- 孕产妇死亡率仍然是一个重大的全球卫生挑战,特别是在发展中国家.
- 意想不到的怀孕和高风险的分娩在很大程度上导致了孕产妇死亡.
- 不安全的堕胎是孕产妇死亡的主要原因之一.
研究的目的:
- 评估增加避孕药使用对发展中国家孕产妇死亡率的影响.
- 量化归因于减少意外怀孕的孕产妇死亡率的减少.
- 通过解决未满足的避孕需求,评估进一步减少孕产妇死亡率的潜力.
主要方法:
- 分析过去20年避孕药使用趋势和孕产妇死亡率的趋势.
- 通过减少意外怀孕而避免的孕产妇死亡比例的估计.
- 评估使用避孕药对高风险怀孕和不安全堕胎的影响.
主要成果:
- 增加避孕药的使用,通过减少意外怀孕,在20年内将孕产妇死亡率降低了40%.
- 通过预防高风险怀孕和不安全的堕胎,避孕措施使孕产妇死亡率降低了26%.
- 通过满足未满足的避孕需求,可以避免额外30%的孕产妇死亡.
结论:
- 现代避孕药的使用为妇女健康带来了巨大的好处,超过了相关风险.
- 避孕改善了围产期的结果和儿童的存活率,通过使更长的妊娠间隔.
- 解决未满足的计划生育需求对于实现进一步降低母婴死亡率至关重要.
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