在应对发病率和死亡率方面,优先考虑母亲心理健康
Katherine L Wisner1, Caitlin Murphy2, Megan M Thomas3
1Developing Brain Institute, Children's National Hospital, George Washington University School of Medicine and Health Sciences, Washington, DC.
美国的孕产妇死亡率很高,精神疾病对这些死亡有很大影响. 解决心理健康问题对于改善母亲健康状况和降低死亡率至关重要.
科学领域:
- 围产期心理健康研究
- 孕产妇死亡率研究
- 公共卫生政策分析 公共卫生政策分析
背景情况:
- 与其他高收入国家相比,美国的产妇死亡率不成比例地高.
- 现有的国家应对孕产妇死亡率的倡议往往忽视了精神疾病的重要作用.
研究的目的:
- 为了强调精神疾病对孕产妇死亡率的不充分认识的影响.
- 要强调的是,精神疾病对产妇死亡的贡献几乎是分娩后出血的两倍.
主要方法:
- 制定了一个全面的主题概要,优先考虑最近的出版物 (2022-2023) 和与政策相关的来源.
- 信息来自PubMed,Ovid,政府网站和卫生政策组织.
- 参考文献是通过协商一致选择的,以确保全面覆盖.
主要成果:
- 精神疾病是孕产妇死亡的一个关键因素,但往往没有得到解决.
- 在测量围产期精神状况和死亡率方面存在挑战,加之是健康的社会决定因素.
- 自杀和成障碍是通过母亲精神疾病增加死亡风险的关键机制.
结论:
- 专业和政府机构之间的协调努力至关重要,以减轻精神疾病对孕产妇死亡率的贡献.
- 需要进行政策和方案的改变,包括解决围产期压力,标准化数据收集,增加对生殖精神病学的准入,并整合围产期和行为健康护理.
- 加强健康的社会基础对于当前和未来几代人的福祉至关重要.
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