低中等收入国家中的早产 各国
Alim Swarray-Deen1, Perez Sepenu2, Teresa E Mensah3
1Maternal-Fetal Medicine Unit, Department of Obstetrics and Gynaecology, Korle Bu Teaching Hospital, Accra, Ghana; Department of Obstetrics and Gynaecology, University of Ghana Medical School, Accra, Ghana.
概括
预防早产 (PTB) 是关键的,特别是在低收入和中等收入国家 (LMIC). 有针对性的战略和政策参与对于全球降低PTB率至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 新生儿科学 新生儿科学
背景情况:
- 过早出生 (PTB) 是全球婴儿发病和死亡的主要原因.
- 与高收入国家 (HIC) 相比,PTB率在低收入和中等收入国家 (LMIC) 仍然不成比例地高.
- 复杂和多因素的PTB病原体需要有针对性的干预,而不是普遍的干预.
研究的目的:
- 审查目前对早产预防策略的理解.
- 强调PTB表型化对于有针对性的预防的重要性.
- 探索决策者在实施基于证据的PTB减少战略中的作用.
主要方法:
- 审查关于PTB及其预防的现有文献.
- 对HIC和LMIC的PTB趋势和风险因素的分析.
- 讨论基于证据的预防策略及其适应LMIC环境的适应性.
主要成果:
- 型化PTB导致了更有效的有针对性的预防方法.
- 主要和次要预防策略,包括风险因素的识别和管理,是有效的.
- 来自HIC的可适应策略需要利益相关者的参与和LMIC产生的证据,以在LMIC中成功实施.
结论:
- 预防是减少PTB发病率的最有效方法.
- 让决策者和利益相关者参与,对于将证据转化为LMIC中有效的PTB减少政策至关重要.
- 利用LMIC产生的证据对于在这些地区开发可持续的PTB预防计划至关重要.
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