戈亚斯的孕产妇死亡率:孕产妇死亡的原因和不足报告的障碍
Emily Nayana Nasmar de Melo1, Otaliba Libânio de Morais Neto2, Ana Maria Nogales Vasconcelos3
1Federal Institute of Education, Science and Technology of Goiás, Águas Lindas Campus, Águas Lindas de Goiás, Goiás, Brazil.
PLOS global public health
|December 3, 2025
概括
戈亚斯州的孕产妇死亡率被严重低估. 连接死亡率和出生数据显示,孕产妇死亡率增加了182%,突出显示实际比率高于官方统计数据.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 产科 产科 产科 产科 产科
背景情况:
- 产妇死亡率在全球范围内仍然是一个关键的公共卫生问题.
- 准确测量孕产妇死亡率对于有效的干预策略至关重要.
- 低报告产妇死亡率可能导致对真正负担的错误计算,并阻碍政策制定.
研究的目的:
- 描述巴西戈亚斯州孕产妇死亡的原因.
- 估计从2016年到2021年的孕产妇死亡率的真实规模.
- 通过将死亡率和出生数据联系起来,评估报告不足的程度.
主要方法:
- 一项描述性研究,利用死亡率信息系统 (SIM) 和活产信息系统 (SINASC) 之间的数据链接.
- 采用了链接程序来确定产妇死亡及其潜在原因.
- 使用直接报告和链接数据计算孕产妇死亡率 (MMR).
主要成果:
- 在2016年至2021年期间,戈亚斯州官方报告了总共417起孕产妇死亡事件.
- 将SIM和SINASC数据联系起来,确定了额外的孕产妇死亡,调整了MMR.
- 调整后的MMR从2016年到2021年增长了182%,这表明官方数据大幅低估.
- 主要原因包括产科条件,异常的临床发现和传染病.
结论:
- 戈亚斯州的孕产妇死亡率远高于官方报告的水平.
- 链接方法提供了对孕产妇死亡率比率的更准确估计.
- 解决报告不足问题对于实施有针对性的公共卫生干预措施来减少孕产妇死亡率至关重要.
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