印度尼西亚孕产妇死亡率的趋势和原因:系统审查
M Syairaji1,2, Detty Siti Nurdiati3, Bayu Satria Wiratama4
1Department of Health Information and Services, Vocational College, Universitas Gadjah Mada, Yogyakarta, Indonesia.
BMC pregnancy and childbirth
|July 30, 2024
概括
印尼的孕产妇死亡率已经下降,但仍然很高,区域差异很大. 由于诸如高血压疾病等不断变化的原因,可以预防的死亡仍然存在.
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:
- 印度尼西亚面临着东南亚最高的孕产妇死亡率之一.
- 在印度尼西亚群岛上,MMR存在显著的区域差异.
研究的目的:
- 分析印尼国家和地区MMR的趋势.
- 为了确定近几十年来产妇死亡的主要原因.
主要方法:
- 对63项研究 (1970-2022) 的系统审查,包括254,796例产妇死亡.
- 使用了PubMed,Embase,全球卫生,CINAHL,Cochrane,门户加鲁达和谷歌学者.
- 使用世卫组织ICD-MM标准对产妇死亡原因进行分类.
主要成果:
- 从1990年到2020年,全国的MMR降低了45% (每10万活产婴儿450至249).
- 在苏拉威西和印度尼西亚东部观察到的MMR最高,超过全国平均水平的两倍.
- 出血和败血症死亡人数下降,而高血压疾病和非产科原因的死亡人数显著增加.
结论:
- 尽管取得了进展,但印度尼西亚的MMR仍然很高,区域不平等仍然存在.
- 原因的转移,包括高血压疾病和非传染性疾病,复杂化了减少策略.
- 优先考虑国家产妇死亡监测和应对对于消除可预防的产妇死亡至关重要.
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