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从人口普查和调查中记录的与妊娠相关的死亡估计产科死亡率。

Estimating obstetric mortality from pregnancy-related deaths recorded in demographic censuses and surveys.

机构信息

Institut de Recherche pour le Développement, France.

出版信息

Stud Fam Plann. 2011 Dec;42(4):237-46. doi: 10.1111/j.1728-4465.2011.00287.x.

Abstract

Demographic surveys and censuses often record pregnancy-related deaths, defined as those occurring during the maternal risk period (pregnancy, delivery, and six weeks postpartum), but do not include cause of death. This study presents a method for estimating obstetric mortality from pregnancy-related deaths data. Calculations are based on multiple-decrement life tables, and data needed are simply age-specific fertility and mortality rates that are commonly available in Demographic and Health Survey (DHS) or census data, and an estimate of the relative risk of death from nonobstetric causes during the maternal risk period. The method is tested on 59 DHS surveys from Africa. Results show that, on average, less than half of the pregnancy-related deaths are attributable to obstetric causes. This proportion varies with the level of mortality and fertility, and in particular with the prevalence of HIV in the population.

摘要

人口调查和人口普查通常记录与妊娠相关的死亡,其定义为发生在产妇风险期(妊娠、分娩和产后六周内)的死亡,但不包括死因。本研究提出了一种从与妊娠相关的死亡数据中估算产科死亡率的方法。计算基于多减员生命表,所需的数据仅为年龄特异性生育率和死亡率,这些数据通常可从人口与健康调查(DHS)或人口普查数据中获得,以及产妇风险期非产科死亡的相对风险的估计值。该方法在来自非洲的 59 次 DHS 调查中进行了测试。结果表明,平均而言,不到一半的与妊娠相关的死亡归因于产科原因。这一比例因死亡率和生育率的不同而有所差异,特别是因人群中 HIV 的流行率而异。

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