1975年至1989年新泽西州与妊娠相关的死亡率
Pregnancy-related mortality in New Jersey, 1975 to 1989.
作者信息
Mertz K J, Parker A L, Halpin G J
机构信息
Division of Family Health Services, New Jersey State Department of Health, Trenton 08625.
出版信息
Am J Public Health. 1992 Aug;82(8):1085-8. doi: 10.2105/ajph.82.8.1085.
OBJECTIVES
National data are thought to underestimate pregnancy-related mortality in the United States. A multisource surveillance system for pregnancy-associated deaths in New Jersey offers an opportunity to identify the magnitude of and the trends in pregnancy-related mortality at the state level.
METHODS
Data from all reported pregnancy-related deaths in the state from 1975 to 1989 were studied, and pregnancy mortality ratios were calculated.
RESULTS
The New Jersey pregnancy mortality ratio decreased from the late 1970s to the early 1980s but began to rise in the late 1980s. The pregnancy mortality ratio for non-Whites was 3.6 times that for Whites for the 15-year period. The causes of pregnancy-related deaths changed over the 15-year period, with direct obstetrical causes playing a decreasing role. AIDS has become the major cause of pregnancy-related mortality in New Jersey. Finally, approximately 44% of the pregnancy-related deaths were considered to be preventable by the physician or patient or both.
CONCLUSIONS
New efforts must be made to combat the recent rise in pregnancy-related deaths, with special attention to preventing deaths among non-White women.
目的
人们认为美国的全国数据低估了与妊娠相关的死亡率。新泽西州的一个多源妊娠相关死亡监测系统提供了一个机会，以确定该州与妊娠相关死亡率的规模和趋势。
方法
研究了该州1975年至1989年所有报告的与妊娠相关死亡的数据，并计算了妊娠死亡率。
结果
新泽西州的妊娠死亡率从20世纪70年代末到80年代初有所下降，但在80年代末开始上升。在这15年期间，非白人的妊娠死亡率是白人的3.6倍。在这15年期间，与妊娠相关死亡的原因发生了变化，直接产科原因的作用在下降。艾滋病已成为新泽西州与妊娠相关死亡的主要原因。最后，约44%的与妊娠相关死亡被认为可由医生或患者或双方预防。
结论
必须做出新的努力来应对近期与妊娠相关死亡的上升，特别要注意预防非白人女性的死亡。
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