美国与怀孕和堕胎相关的死亡率,2018-2021年
Maria W Steenland1, Kerra Mercon1, Benjamin P Brown2
1Department of Family Science, School of Public Health, University of Maryland, College Park, College Park.
JAMA network open
|January 21, 2026
概括
最新数据显示,与怀孕相关的死亡风险明显高于与堕胎相关的死亡. 死亡率至少高出3倍,突出了强迫继续怀孕的健康风险.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 死亡率统计 死亡率统计
背景情况:
- 多布斯诉杰克逊妇女健康组织的决定加剧了关于堕胎和孕产妇健康的讨论.
- 之前的估计 (1998-2005) 显示,分娩死亡率是堕胎死亡率的14倍.
- 需要更新数据,以反映当前的孕产妇死亡检测和堕胎安全.
研究的目的:
- 使用最近的数据 (2018-2021) 计算与妊娠相关的与堕胎相关的死亡率的比率.
- 将最新的死亡率与历史估计进行比较.
- 评估堕胎限制对母亲健康风险的影响.
主要方法:
- 使用国家生命统计系统数据 (2018-2021) 对出生和与怀孕有关的死亡进行横截面研究.
- 从怀孕死亡率监测系统获得的与堕胎有关的死亡;从Guttmacher研究所获得的堕胎数字.
- 每10万例出生/堕胎计算的死亡率,敏感性分析不包括某些ICD-10代码和COVID-19死亡.
主要成果:
- 在2018年至2021年期间,有超过1490万例分娩和3600万例堕胎.
- 平均与妊娠有关的与堕胎有关的死亡率从44.3到69.6不等,取决于排除.
- 这一更新的比率至少是1998-2005年估计的14.7.7的3倍.
结论:
- 根据2018-2021年的数据,怀孕死亡的风险远高于堕胎死亡的风险.
- 禁止堕胎迫使个人承担与继续怀孕相关的更大的健康风险.
- 确保获得堕胎的机会对于减轻孕产妇健康风险至关重要.
相关概念视频
01:52Regression Toward the Mean
6.3K
Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when...
6.3K
01:21Nondisjunction
4.5K
Nondisjunction is the failure of homologous chromosomes or sister chromatids to separate correctly and move to the opposite poles of the cells. This produces daughter cells with abnormal chromosome numbers. Nondisjunction is common during anaphase I or anaphase II of meiosis. Mutations in synaptonemal complex proteins that attach homologous chromosomes increase the chances of nondisjunction in anaphase I of meiosis I. In contrast, mutations in topoisomerases and condensins that hold...
4.5K
01:07Teratogenicity
4.2K
The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
4.2K
01:22Life Tables
674
A life table is a statistical tool that summarizes the mortality and survival patterns of a population, providing detailed insights into the likelihood of survival or death across different age intervals within a cohort. By organizing data on survival probabilities and mortality rates, life tables offer a clear snapshot of population dynamics over time. They are extensively used in demography, public health, actuarial science, and ecology to analyze life expectancy, design health interventions,...
674
01:20Actuarial Approach
384
The actuarial approach, a statistical method originally developed for life insurance risk assessment, is widely used to calculate survival rates in clinical and population studies. This method accounts for participants lost to follow-up or those who die from causes unrelated to the study, ensuring a more accurate representation of survival probabilities.
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
384
01:22Applications of Life Tables
429
Life tables are versatile across various fields, providing a quantitative basis for analyzing mortality and survival rates. Whether used by demographers, actuaries, epidemiologists, or sociologists, life tables offer valuable insights into the dynamics of life and death, facilitating informed decisions in public health, insurance, conservation, and beyond. Their broad applicability highlights the interconnectedness of demographic data with practical outcomes in everyday life and strategic...
429