死亡出生:在高收入国家采取行动
Vicki Flenady1, Aleena M Wojcieszek1, Philippa Middleton2
1Mater Research Institute, University of Queensland, Brisbane, QLD Australia; International Stillbirth Alliance, NJ, USA.
Lancet (London, England)
|January 23, 2016
概括
高收入国家间的死产率有很大差异,每年可能有数千例孕期晚期死产的发生. 解决社会经济差异和改善护理质量对于减少死产至关重要.
科学领域:
- 生产周边流行病学
- 公共卫生
- 生殖健康
背景情况:
- 在高收入国家中, 生死婴儿的比例存在持续的差异.
- 这些国家在死产结果方面存在显著的公平差距.
- 对于受影响的妇女来说,社会经济劣势使死产的风险增加了一倍.
研究的目的:
- 分析高收入国家的死胎率差异.
- 确定减少死产的关键领域.
- 突出社会经济因素对死产风险的影响.
主要方法:
- 对高收入国家的死胎数据进行比较分析.
- 通过采用最佳实践率来避免潜在死产的估计.
- 对包括低标准护理和社会经济决定因素在内的促成因素的审查.
主要成果:
- 采用表现最好的死亡出生率可以在2015年防止19439例晚期死亡出生.
- 不能解释的死胎仍然占很高的比例,
- 低标准的护理占死产的20-30%,特别是产前死产.
结论:
- 实施国家围产死亡率审计计划至关重要.
- 减少耻辱,减少命运主义,改善丧亲关怀是至关重要的.
- 需要有针对性的社区和国家级计划来改善贫困家庭的健康状况,
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