Measuring maternal, foetal and neonatal mortality: Challenges and solutions
Measuring maternal, foetal and neonatal mortality: Challenges and solutions
复制标题
DOI：
10.1016/j.bpobgyn.2016.05.006
复制
发表时间：
2016-10-01
影响因子：
5.5
通讯作者：
Campbell, Oona M. R.
中科院分区：
文献类型：
--
作者：
Blencowe, Hannah;Calvert, Clara;Campbell, Oona M. R.
母亲和婴儿的死亡率水平和原因有着内在的联系，虽然婴儿的死亡率要高得多，但它们是同时发生的，而且往往与同一母婴二元体有关。衡量孕产妇、新生儿和胎儿死亡率的水平、趋势和原因，对于了解干预措施的优先领域和跟踪全球、国家、区域和地方各级干预措施的成功情况十分重要。本文概述了用于测量孕妇和产后妇女(孕产妇和妊娠相关死亡率)及其婴儿(胎儿和新生儿死亡率)死亡率的定义和指标。然后，我们讨论了目前在测量孕产妇、胎儿和新生儿死亡率水平和原因方面的问题，并提出了改进这些结果测量的选择。最后，我们说明了死亡率数据的一些重要用途，包括用于开发模型以估计全球和国家一级的死亡率以及用于审计。(C)爱思唯尔有限公司出版的2016年。
Levels and causes of mortality in mothers and babies are intrinsically linked, occurring at the same time and often to the same mother-baby dyad, although mortality rates are substantially higher in babies. Measuring levels, trends and causes of maternal, neonatal and foetal mortality are important for understanding priority areas for interventions and tracking the success of interventions at the global, national, regional and local level. However, there are many measurement challenges.This paper provides an overview of the definitions and indicators for measuring mortality in pregnant and post-partum women (maternal and pregnancy-related mortality) and their babies (foetal and neonatal mortality). We then discuss current issues in the measurement of the levels and causes of maternal, foetal and neonatal mortality, and present options for improving measurement of these outcomes. Finally, we illustrate some important uses of mortality data, including for the development of models to estimate mortality rates at the global and national level and for audits. (C) 2016 Published by Elsevier Ltd.