MATERNAL MORTALITY-A NEGLECTED TRAGEDY Where is the M in MCH?
MATERNAL MORTALITY-A NEGLECTED TRAGEDY Where is the M in MCH?
复制标题
孕产妇死亡率——一场被忽视的悲剧 MCH 中的 M 在哪里？
DOI：
10.1016/s0140-6736(85)90188-6
复制
发表时间：
1985
期刊：
影响因子：
--
通讯作者：
D. Maine
中科院分区：
文献类型：
--
作者：
A. Rosenfield;D. Maine
世界卫生组织 (WHO) 估计，发展中国家每年有 50 万名妇女死于怀孕、堕胎和分娩并发症。在第三世界，每 10 万人出生就有 100-300 名孕产妇死亡，农村地区的死亡率要高得多。 2 相比之下，发达国家每 10 万活产中只有 7-15 名孕产妇死亡。发病率很少有数据，但可以肯定的是，每有一个女性死亡，就有更多的女性患有严重的、往往是长期的并发症。大多数死亡是可以预防的，但在减少这种不必要的痛苦和死亡的根源方面却几乎没有采取任何措施。尽管近年来“妇幼健康”（MCH）备受关注，但对妇幼保健项目的审查表明，大多数项目对降低孕产妇死亡率收效甚微。很难理解为什么孕产妇死亡率很少受到卫生专业人员、政策制定者和政治家的认真关注。世界各地的产科医生在这方面尤其忽视了自己的职责。大多数产科医生没有提请人们注意这个问题并游说重大计划和优先事项的改变，而是专注于强调高科技的亚专业。通过回顾这里的问题，我们希望激励那些关心国际卫生的人们以及发展中国家的医生和决策者将降低孕产妇死亡率作为他们的优先事项之一。
THE World Health Organisation (WHO) estimates that 500 000 women in developing countries die every year from complications of pregnancy, abortion attempts, and childbirth.’100-300 maternal deaths per 100 000 births are common in the Third World, and rates are much higher in rural areas. 2 In contrast developed countries have only 7-15 maternal deaths per 100 000 live births. Morbidity rates are rarely available, but it is certain that for every woman who dies many more have serious, often long-term, complications. Most of the deaths are preventable, yet little is being done to reduce this source of unnecessary suffering and death. Although in recent years much attention has been given to" maternal and child health"(MCH), scrutiny of MCH programmes shows that most of them will do little to reduce maternal mortality. It is difficult to understand why maternal mortality receives so little serious attention from health professionals, policy makers, and politicians. The world’s obstetricians are particularly neglectful of their duty in this regard. Instead of drawing attention to the problem and lobbying for major programmes and changes in priorities, most obstetricians concentrate on subspecialties that puts emphasis on high technology. By reviewing the issue here we hope to stimulate those concerned with international health and doctors and policy makers in developing countries to make reduction of maternal mortality one of their priorities.