Maternal mortality in low-income countries: What interventions have been evaluated and how should the evidence base be developed further?
Maternal mortality in low-income countries: What interventions have been evaluated and how should the evidence base be developed further?
复制标题
DOI：
10.1016/j.ijgo.2008.12.022
复制
发表时间：
2009-04-01
影响因子：
3.8
通讯作者：
Mayhew, Susannah H.
中科院分区：
文献类型：
--
作者：
Burchett, Helen E.;Mayhew, Susannah H.
目的：本文回顾了非临床干预措施降低低收入环境中孕产妇死亡率的有效性的证据，并确定了证据基础中的差距。研究方法：对1997年至2008年期间发表的关于降低孕产妇死亡率高的低收入国家孕产妇死亡率的非临床干预措施的审查和评价进行了系统检索。对研究进行了回顾，以确定主题焦点、研究设计和测量结果。结果：有109个干预评价和30个审查确定。在不到一半的国家进行了研究，而且质量普遍较差。更多的研究集中在石油三级预防（即，预防死亡）而不是二级预防（即，预防并发症）。更多的干预措施力求解决护理质量问题，而不是寻求或获得护理方面的延误问题。结论：虽然证据部分反映了在评价复杂的公共卫生干预措施方面的困难，但更有力的研究设计可以用来评价降低孕产妇死亡率的干预措施。此外，还需要更好的标准化结果措施。本概述确定了干预研究所忽视的主题领域。(C)2009年国际妇产科联合会。由Elsevier爱尔兰有限公司出版。保留所有权利。
Objective: This article reviews the evidence for the effectiveness of non-clinical interventions to reduce maternal mortality in low-income settings and identifies the gaps in the evidence base. Methods: A systematic search was conducted to identify reviews and evaluations of non-clinical interventions to reduce Maternal mortality in lower-income Countries With high maternal mortality published between 1997 and 2008. Studies were reviewed to identify the topic focus, Study design, and outcomes measured. Results: There were 109 intervention evaluations and 30 reviews identified. Studies had been conducted in less than half of the countries and were generally poor quality. More Studies focused oil tertiary prevention (i.e., preventing death) rather than secondary prevention (i.e., preventing complications). More interventions Sought to address quality of care than delays in seeking or accessing care. Conclusions: While evidence partly reflects difficulties in evaluating complex Public health interventions, more robust study designs are possible to evaluate interventions to reduce maternal mortality. In addition, better standardized outcome measures are needed. This overview identifies topic areas neglected by intervention research. (C) 2009 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.