低收入和中等收入国家的产前护理和产周死亡率:对母亲和新生儿健康系统的见解
Belayneh Jejaw Abate1, Sileshi Ayele Abebe2, Helen Brhan Alemaw3
1University of Gondar Comprehensive Specialized Hospital, Gondar, Ethiopia.
Mayo Clinic proceedings. Innovations, quality & outcomes
|February 27, 2026
概括
在没有产前护理 (ANC) 的妇女中,产周死亡率更高. 增加ANC访问量显著降低了这种风险,突出了在低收入和中等收入国家扩大获得护理的必要性.
科学领域:
- 全球健康 全球健康
- 孕产妇健康 孕产妇健康
- 围产期结局的结果
背景情况:
- 产前护理 (ANC) 对于母亲和婴儿的福祉至关重要.
- 在低收入和中等收入国家 (LMICs) 中,围产死亡率存在显著差异.
研究的目的:
- 调查LMIC中ANC和无ANC妇女之间的围产死亡率差异.
- 确定这些人群中与围产期死亡率相关的因素.
主要方法:
- 来自41个LMIC (2015-2024) 的人口和健康调查数据的分析.
- 包括494,259个加权观察结果.
- 应用混合效应物流回归来识别相关因素.
主要成果:
- 孕期死亡率为ANC使用者的40.1/1000个出生,而非使用者的51.9/1000个出生.
- 具有≥8个ANC接触的女性的出生死亡率为26.4/1000.
- 诸如出生间隔,教育和财富指数等因素与死亡率有关.
结论:
- 没有ANC的妇女面临更高的围产期死亡风险.
- 增加ANC的使用,特别是≥8次接触,将风险减半.
- 解决关键关联因素对于降低低产周死亡率至关重要.
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