埃塞俄比亚提格雷战争时期的孕产妇死亡率:一个基于社区的研究
Awol Yemane Legesse1, Hale Teka Tseghay1, Hiluf Ebuy Abraha2
1Department of Obstetrics and Gynecology, College of Health Sciences, Mekelle University, Mekelle, Tigray, Ethiopia.
BJOG : an international journal of obstetrics and gynaecology
|September 27, 2023
概括
提格雷战争显著增加了孕产妇死亡率,达到每10万活产婴儿中有840名,比战前水平大幅上升. 大多数孕产妇死亡发生在卫生设施之外,这凸显了恢复医疗保健服务的迫切需要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 全球健康 全球健康
背景情况:
- 蒂格莱持续的冲突加剧了在孕产妇医疗保健方面的现有不平等.
- 了解战争对孕产妇死亡率的影响对于有针对性的干预至关重要.
研究的目的:
- 检查战争对Tigray地区孕产妇死亡率的影响.
- 评估冲突期间的产妇死亡率和死亡原因.
主要方法:
- 从2020年11月到2022年5月,在埃塞俄比亚北部的Tigray地区进行了一项基于社区的横截面研究.
- 通过多阶段的集群采样技术,在31个选定的地区调查了189,087户家庭.
- 该研究涉及选生殖年龄死亡和进行口头尸检.
主要成果:
- 发现孕产妇死亡率为每10万活产婴儿中有840名 (95%CI为739-914).
- 出血 (42.8%),妊娠引起的高血压 (8.4%) 和意外 (5.6%) 是导致产妇死亡的主要原因.
- 绝大多数 (81.2%) 的孕产妇死亡发生在卫生设施之外.
结论:
- 由于战争,Tigray的孕产妇死亡率急剧增加,而战前的死亡率为186/100,000.
- 获得预防和紧急产科服务可以防止许多与怀孕有关的死亡.
- 鉴于设施的广泛破坏,恢复和加强蒂格莱的医疗保健系统是关键的优先事项.
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