孟加拉国的孕产妇死亡率:谁,什么时候,为什么,在哪里? 一个基于全国调查的分析分析
Aniqa Tasnim Hossain1, Abu Bakkar Siddique1, Sabrina Jabeen1
1International Centre for Diarrhoeal Disease Research, Bangladesh.
Journal of global health
|June 8, 2023
概括
孟加拉国的孕产妇死亡率仍然很高,主要原因是出血和阴. 近一半的死亡发生在分娩期间,突出需要改善紧急护理和运输.
科学领域:
- 公共卫生 公共卫生
- 产科和妇科 产科和妇科
- 流行病学 流行病学
背景情况:
- 孟加拉国的孕产妇死亡率尽管最近有所下降,但仍然是一个重大的公共卫生问题.
- 了解母亲死亡的确切原因和情况对于有效的政策干预至关重要.
- 这项研究重点关注孟加拉国母亲死亡的寻求护理行为,时间和地点.
研究的目的:
- 确定孟加拉国目前的孕产妇死亡率.
- 为了确定产妇死亡的主要原因.
- 分析寻求护理的做法,时间和死亡地点,以了解孕产妇死亡率.
主要方法:
- 来自2016年孟加拉国孕产妇死亡率和医疗保健调查 (BMMS) 的数据分析.
- 利用了世界卫生组织2014年口头尸检 (VA) 调查问卷,适应了这项研究.
- 经过培训的医生审查了口头尸检反应,根据ICD-10分类来确定死亡原因,其中包括175例孕产妇死亡.
主要成果:
- 孕产妇死亡率为每10万活产婴儿196人.
- 出血 (31%) 和阴 (23%) 是主要的直接原因,占孕产妇死亡的一半以上.
- 近一半的孕产妇死亡发生在分娩当天或第二天,其中很大一部分发生在公共设施 (49%) 或中途 (19%).
结论:
- 出血和阴是减少孕产妇死亡率的干预的关键目标.
- 改善分娩期间和分娩后的护理是必不可少的.
- 加强紧急运输和推系统中的问责制对于减少孕产妇死亡率至关重要.
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