相关实验视频
Updated: Jun 11, 2025

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Murine Fetal Echocardiography
Published on: February 15, 2013
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胎儿死亡率的时间趋势根据两种死亡可避免性分类
Rebeca Danielly Barros Xavier1, Mirella Bezerra Rodrigues Vilela2, Cristine Vieira do Bonfim3
1Secretaria de Estado da Saúde de Alagoas, Hospital da Mulher Dra. Nise da Silveira, Maceió, AL, Brazil.
Revista da Escola de Enfermagem da U S P
|September 27, 2024
概括
里西菲的胎儿死亡率趋势保持稳定,大多数死亡是可以避免的. 巴西的胎儿死亡可避免死亡原因清单 (LBE-OF) 显示了监测胎儿死亡质量的潜力.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 孕产妇和儿童的健康
背景情况:
- 在全球范围内,胎儿死亡率仍然是一个重大的公共卫生问题.
- 对胎儿死亡原因的准确分类对于有针对性的干预至关重要.
- 评估胎儿死亡的可避免性有助于确定改善医疗保健质量的领域.
研究的目的:
- 分析2010年至2021年巴西里西菲胎儿死亡率及其组成部分的时间趋势.
- 用两个不同的可避免性分类来评估胎儿死亡趋势:巴西胎儿死亡可避免死亡原因清单 (LBE-OF) 和巴西5岁以下儿童可避免死亡原因清单 (LBE < 5).
- 评估因可避免和不确定的原因造成的胎儿死亡的趋势.
主要方法:
- 生态研究设计分析胎儿死亡率的时间趋势.
- 应用Joinpoint回归模型来识别重大趋势.
- 使用两个巴西的可避免性分类列表 (LBE-OF和LBE < 5) 进行因果特定分析.
主要成果:
- 2010年至2021年里西菲的胎儿死亡率总体趋势在2010年至2021年之间保持稳定.
- 胎儿死亡的可避免原因显示出更高的死亡率,根据LBE-OF (APC:2.1%,p=0.018) 的增加趋势和LBE<5.5的静止趋势.
- 由于不明原因的死亡率仅在LBE-OF分类下显示下降趋势 (APC: -12.3%,p<0.001).
结论:
- 里西菲的胎儿死亡率趋势停滞不前,表明需要加强公共卫生战略.
- 很大一部分胎儿死亡是可以避免的,这突出了改善围产期护理的机会.
- LBE-OF分类在监测信息质量和避免胎儿死亡的可能性方面具有实用性.
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