Global burden of maternal death and disability
Global burden of maternal death and disability
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DOI：
10.1093/bmb/ldg015
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发表时间：
2003-01-01
影响因子：
6.7
通讯作者：
AbouZahr, C
中科院分区：
文献类型：
--
作者：
AbouZahr, C
健全的信息是采取保健行动的先决条件：如果没有关于保健问题的范围、影响和重要性的数据，就不可能提出宣传理由，也不可能制定解决这一问题的强有力方案，由于缺乏关于产妇健康不良负担程度的良好信息，多年来国际卫生界相对忽视了这一问题。产妇死亡往往是孤立和隐蔽的事件，没有统计。出现这一困难并不是因为产妇死亡的定义不明确，而是因为卫生信息系统薄弱，因此没有系统地查明和记录产妇死亡情况。近年来，制订了衡量孕产妇死亡率的创新办法，从而加强了信息基础。卫生组织、儿童基金会和人口基金对2000年的估计表明，全球总共529 000例产妇死亡中，大部分发生在13个国家。相比之下，关于与怀孕和生育有关的非致命性健康后果的全球负担的信息仍然不完整和不完整。然而，根据对现有资料的系统审查并仅限于五种与怀孕直接有关的主要并发症的初步估计表明，这是一个相当严重的问题。
Sound information is the prerequisite for health action: without data on the dimensions, impact and significance of a health problem it is neither possible to create an advocacy case nor to establish strong programmes for addressing it. The absence of good information on the extent of the burden of maternal ill-health resulted in its relative neglect by the international health community for many years. Maternal deaths are too often solitary and hidden events that go uncounted. The difficulty arises not because of lack of clarity regarding the definition of a maternal death, but because of the weakness of health information systems and consequent absence of the systematic identification and recording of maternal deaths. In recent years, innovative approaches to measuring maternal mortality have been developed, resulting in a stronger information base. WHO, UNICEF and UNFPA estimates for the year 2000 indicate that most of the total 529,000 maternal deaths globally occur in just 13 countries. By contrast, information on the global burden of non-fatal health outcomes associated with pregnancy and childbearing remains patchy and incomplete. Nonetheless, initial estimates based on systematic reviews of available information and confined to the five major direct pregnancy-related complications indicate a problem of considerable magnitude.