The causes of maternal mortality in adolescents in low and middle income countries: a systematic review of the literature.
The causes of maternal mortality in adolescents in low and middle income countries: a systematic review of the literature.
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DOI：
10.1186/s12884-016-1120-8
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发表时间：
2016-11-11
影响因子：
3.1
通讯作者：
Matthews Z
中科院分区：
文献类型：
--
作者：
Neal S;Mahendra S;Bose K;Camacho AV;Mathai M;Nove A;Santana F;Matthews Z
虽然人们对中低收入国家孕产妇死亡的主要原因有很好的了解，但对青少年孕产妇死亡原因的模式是否与老年妇女相同却知之甚少。本研究系统地回顾了有关青春期孕产妇死亡原因的文献。在可能的情况下，我们比较了青少年和老年妇女的主要原因，以确定死亡模式的差异和相似之处。根据预先确定的检索策略，使用一些电子数据库对英文、西班牙文和葡萄牙文的论文和灰色文献进行了初步检索。关注的结果是按死因分列的青少年孕产妇死亡比例。共有15篇论文符合研究方案中确立的纳入标准。少女产妇死亡的主要原因与老年妇女相似：高血压、出血、流产和败血症。然而，一些研究表明，在青少年孕产妇死亡的具体原因的相对严重程度方面存在国家或区域差异。与老年妇女的死亡原因相比，在一系列环境中进行的一些研究发现，高血压疾病是青少年死亡的一个更重要的原因。就间接死亡原因而言，有迹象表明，疟疾是一些国家青少年孕产妇死亡的一个特别重要的原因。青少年孕产妇死亡的主要原因与老年妇女的主要原因大致相似，但调查结果表明，各国和各区域之间存在一些差异。然而，有证据表明，与20岁以上的妇女相比，这一较年轻年龄组的具体原因的相对重要性可能有所不同。特别是，高血压在青少年孕产妇死亡中所占比例高于老年妇女。此外，需要大规模的研究来进一步研究这个问题。
While the main causes of maternal mortality in low and middle income countries are well understood, less is known about whether patterns for causes of maternal deaths among adolescents are the same as for older women. This study systematically reviews the literature on cause of maternal death in adolescence. Where possible we compare the main causes for adolescents with those for older women to ascertain differences and similarity in mortality patterns. An initial search for papers and grey literature in English, Spanish and Portuguese was carried out using a number of electronic databases based on a pre-determined search strategy. The outcome of interest was the proportion of maternal deaths amongst adolescents by cause of death. A total of 15 papers met the inclusion criteria established in the study protocol. The main causes of maternal mortality in adolescents are similar to those of older women: hypertensive disorders, haemorrhage, abortion and sepsis. However some studies indicated country or regional differences in the relative magnitudes of specific causes of adolescent maternal mortality. When compared with causes of death for older women, hypertensive disorders were found to be a more important cause of mortality for adolescents in a number of studies in a range of settings. In terms of indirect causes of death, there are indications that malaria is a particularly important cause of adolescent maternal mortality in some countries. The main causes of maternal mortality in adolescents are broadly similar to those for older women, although the findings suggest some heterogeneity between countries and regions. However there is evidence that the relative importance of specific causes may differ for this younger age group compared to women over the age of 20 years. In particular hypertensive conditions make up a larger share of maternal deaths in adolescents than older women. Further, large scale studies are needed to investigate this question further.
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影响因子：
2.1
作者：
Bankole, Akinrinola;Malarcher, Shawn
通讯作者：
Malarcher, Shawn
DOI：
10.4067/s0034-98872012001000003
发表时间：
2012-10-01
期刊：
Revista médica de Chile
影响因子：
--
作者：
Donoso S, Enrique;Carvajal C, Jorge A
通讯作者：
Carvajal C, Jorge A
影响因子：
14.6
作者：
Bernabe-Ortiz, Antonio;White, Peter J.;Holmes, King K.
通讯作者：
Holmes, King K.
影响因子：
4.5
作者：
Asamoah BO;Moussa KM;Stafström M;Musinguzi G
通讯作者：
Musinguzi G
影响因子：
9.8
作者：
Conde-Agudelo, A;Belizán, JM;Lammers, C
通讯作者：
Lammers, C