在尼日利亚拉各斯州使用间接姐妹关系方法对母婴死亡率的基于人口的估计
Kikelomo Ololade Wright1,2,3, Temiloluwa Fagbemi4, Victoria Omoera5
1Department of Community Health and Primary Health Care, Lagos State University College of Medicine (LASUCOM), Ikeja, Lagos, Nigeria. kikelomo.wright@lasucom.edu.ng.
BMC pregnancy and childbirth
|April 25, 2024
概括
尼日利亚拉各斯的孕产妇死亡率仍然很高,每10万活产婴儿中有430名. 这项研究强调迫切需要加强基于社区的干预措施,以减少妇女的可预防死亡.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 流行病学 流行病学
背景情况:
- 怀孕和分娩死亡对妇女构成重大风险,特别是在低收入和中等收入国家 (LMICs).
- 估计尼日利亚拉各斯的孕产妇死亡率 (MMR) 对于了解问题的范围至关重要.
研究的目的:
- 为尼日利亚拉各斯的孕产妇死亡率 (MMR) 提供最新估计.
- 评估LMIC主要城市中心当前的孕产妇死亡率状况.
主要方法:
- 一项以人口为基础的横截面研究,涉及9,986名尼日利亚拉各斯的生育年龄 (15-49岁) 的女性.
- 使用了2阶段的集群采样技术和通过REDCap.Cap.管理的半结构化问卷.
- 使用间接姊妹方法估计了孕产妇死亡率 (MMR).
主要成果:
- 拉各斯估计的孕产妇死亡率 (MMR) 为每10万活产430 (95%CI:360-510).
- 孕产妇死亡的终身风险 (LTR) 是51分之一.
- 总生育率 (TFR) 的计算为3.807.
结论:
- 拉各斯的孕产妇死亡率不可接受地高,并没有随着时间的推移显著变化.
- 需要加强以社区为基础的干预措施和针对私立医院的计划.
- 持续监测MMR趋势和解决所有层面的孕产妇护理障碍是必不可少的.
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