Gerdts Caitlin, Tunçalp Ozge, Johnston Heidi, Ganatra Bela
Ibis Reproductive Health, Oakland, California, USA.
UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland.
Reprod Health. 2015 Sep 16;12:87. doi: 10.1186/s12978-015-0064-1.
Two recent efforts to quantify the causes of maternal deaths on a global scale generated divergent estimates of abortion-related mortality. Such discrepancies in estimates of abortion-related mortality present an important opportunity to explore unique challenges and opportunities associated with the generation and interpretation of abortion-related mortality estimates. While innovations in primary data collection and estimation methodologies are much needed, at the very least, studies that seek to measure maternal deaths due to abortion should endeavor to improve transparency, acknowledge limitations of data, and contextualize results. As we move towards sustainable development goals beyond 2015, the need for valid and reliable estimates of abortion-related mortality has never been more pressing. The post-MDG development agenda that aims to improve global health, reduce health inequities, and increase accountability, requires new and novel approaches be tested to improve measurement and estimation of abortion-related mortality, as well as incidence, safety and morbidity.
最近两项在全球范围内量化孕产妇死亡原因的工作得出了关于堕胎相关死亡率的不同估计。堕胎相关死亡率估计中的此类差异为探索与生成和解释堕胎相关死亡率估计相关的独特挑战和机遇提供了重要契机。虽然急需在原始数据收集和估计方法方面进行创新,但至少,试图衡量堕胎导致的孕产妇死亡的研究应努力提高透明度,承认数据的局限性,并结合具体情况解读结果。随着我们迈向2015年后的可持续发展目标,对有效且可靠的堕胎相关死亡率估计的需求从未像现在这样紧迫。旨在改善全球健康、减少健康不平等并增强问责制的千年发展目标后发展议程,要求测试新的方法来改进对堕胎相关死亡率以及发病率、安全性和发病率的衡量和估计。