15-49岁女性的孕产妇出血:发病率下降,但全球差距越来越大
Yuejing Li1, Guofu Tang2, Liyi Zhang1
1Department of Obstetrics, 638853 Dazhou Central Hospital , Dazhou, China.
Journal of perinatal medicine
|January 30, 2026
概括
从1990年到2021年,全球孕产妇出血发生率略有下降,但仍然存在显著的差异. 针对性努力对于社会人口统计指数 (SDI) 较低的地区来说至关重要,以实现孕产妇健康平等.
科学领域:
- 全球健康 全球健康
- 产科和妇科 产科和妇科
- 流行病学 流行病学
背景情况:
- 孕产妇出血仍然是一个重大的全球健康挑战.
- 了解时间趋势和社会人口统计学关联对于公共卫生干预至关重要.
研究的目的:
- 分析生育年龄妇女产妇出血发生率的全球时间趋势.
- 评估母亲出血发生率与社会人口统计指数 (SDI) 之间的关联.
主要方法:
- 利用来自国际卫生数据库的数据,包括全球疾病负担研究 (1990-2021年).
- 按国家,年龄组和SDI地区抽取的发病率.
- 使用估计年度百分比变化 (EAPC) 量化时间变化,并分析了与SDI的相关性.
主要成果:
- 全球孕产妇出血病例略有下降,从1990年的1410万例降至2021年的1390万例.
- 发病率从每10万女性的1,056.09下降到每10万女性的714.
- 在低中等SDI地区观察到的急剧减少;撒哈拉以南非洲保持了最高的发病率. 发现SDI和发病率之间存在负相关性.
结论:
- 尽管全球数量下降,但在孕产妇出血方面仍然存在显著的区域和社会人口差异.
- 产科和公共卫生系统的改进对全球产生了影响.
- 在SDI较低的地区,有针对性的干预措施对于促进孕产妇健康平等至关重要.
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