von Dadelszen Peter, Magee Laura A
Molecular and Clinical Sciences Research Institute, St George's, University of London, UK.
Department of Obstetrics and Gynaecology, St George's University Hospitals NHS Foundation Trust, UK.
Obstet Med. 2017 Mar;10(1):5-9. doi: 10.1177/1753495X16686287. Epub 2017 Jan 29.
The leading direct causes of the estimated 196 maternal deaths per 100,000 live births globally are postpartum haemorrhage, the hypertensive disorders of pregnancy, obstructed labour, unsafe abortion and obstetric sepsis. Of the Sustainable Development Goals, one (Sustainable Development Goal 3.1) specifically addresses maternal mortality; by 2030, the goal is to reduce the global maternal mortality ratio to less than 70 per 100,000 live births. Eleven other Sustainable Development Goals provide opportunities to intervene. Unapologetically, this review focusses the reader's attention on health advocacy and its central role in altering the risks that many of the world's women face from direct obstetric causes of mortality. Hard work to alter social determinants of health and health outcomes remains. That work needs to start today to improve the health and social equality of today's girls who will be the women delivering their babies in 2030.
全球每10万例活产中估计有196例孕产妇死亡，其主要直接原因是产后出血、妊娠高血压疾病、产程梗阻、不安全堕胎和产科败血症。在可持续发展目标中，有一项（可持续发展目标3.1）专门针对孕产妇死亡率；到2030年，目标是将全球孕产妇死亡率降低至每10万例活产少于70例。其他11项可持续发展目标提供了干预机会。毫不掩饰地说，本综述将读者的注意力集中在健康倡导及其在改变世界上许多妇女因直接产科死亡原因而面临的风险方面的核心作用上。改变健康的社会决定因素和健康结果的艰巨工作仍在继续。这项工作需要从今天开始，以改善当今女孩的健康和社会平等状况，这些女孩将成为2030年分娩的妇女。
