太早出生:早产的全球流行病学和变革的驱动力
Ellen Bradley1, Hannah Blencowe1, Ann-Beth Moller2
1Maternal, Adolescent, Reproductive & Child Health (MARCH) Centre, London School of Hygiene & Tropical Medicine, London, UK.
Reproductive health
|June 23, 2025
概括
全球早产率在过去十年中没有显著变化,并发症仍然是儿童死亡的主要原因. 改善数据收集和专注于预防对于减少过早出生的婴儿数量至关重要.
科学领域:
- 全球卫生健康 全球卫生健康
- 新生儿结局的结果.
- 孕产妇健康 孕产妇健康
背景情况:
- 过早分娩并发症是全球5岁以下儿童死亡的主要原因.
- 尽管有努力,但全球早产率在过去十年中并没有明显变化.
- 据估计,在2020年,有1340万名新生儿是早产,占全球出生总数的9.9%.
研究的目的:
- 评估全球解决早产问题的进展和挑战.
- 强调早产并发症对儿童死亡率的持续影响.
- 概述在未来十年采取行动的关键领域,以减少早产和相关死亡.
主要方法:
- 分析过去十年全球早产率和死亡率数据.
- 审查数据的可用性和妊娠年龄测量的进展.
- 综合了"过早出生:对早产行动十年"报告的调查结果.
主要成果:
- 在过去的十年中,全球早产率没有显著变化.
- 在2022年,早产并发症导致大约100万新生儿死亡.
- 一些国家显示,早产率和数据系统的改进有所减少.
结论:
- 预防早产需要专注于特定环境的风险因素和改善护理,包括对死胎的护理.
- 加强国家数据系统以准确计数和妊娠年龄记录至关重要.
- 增强数据利用对于共享问责制和推动行动来减少早产和改善新生儿结果至关重要.
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