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尼日利亚育龄妇女死亡率概述:一项基于医院的研究。

Mortality Synopsis Among Women of Reproductive Age Group in Nigeria: A Hospital-Based Study.

作者信息

Uchendu J O

机构信息

Department of Histopathology, Delta State university Teaching Hospital Oghara, Delta State,Nigeria.

出版信息

West Afr J Med. 2020 Jan-Mar;37(1):74-78.

PMID:32030716
Abstract

PURPOSE

Identification of health problems of women of reproductive age, using a reliable mortality data, is essential in evading preventable female deaths. This study aimed at investigating mortality profile of women of reproductive age group in Nigeria.

MATERIALS AND METHODS

This is a descriptive, retrospective study involving women of reproductive age group of 15-49 years that died at DELSUTH from 1st January 2016 to 31st December 2018. The age, date of death and cause of death were retrieved from the hospital records and subsequently analyzed using SPSS version 21.

RESULTS

One hundred and eighty-seven eligible deaths were encountered in this study, constituting 17.5% of all deaths in the hospital. Twenty four (12.8%) cases were of maternal etiology while 163 (87.2%) were of non-maternal causes. Non-communicable disease, communicable disease and external injuries accounted for 100 (53.5%), 44 (23.5%) and 19 (10.2%) deaths among the non-maternal causes. The mean age and the peak age group are 34.4 years and the 4th decade respectively. The leading specified non-maternal causes of death (in descending order) are AIDS/TB, cerebrovascular accidents (CVA), breast cancer, road traffic accident (RTA), diabetes, perioperative death and sepsis while the leading maternal causes of death are abortion, postpartum hemorrhage, eclampsia and puerperal sepsis.

CONCLUSION

Most deaths affecting WRAG are preventable, with non-maternal causes in excess of maternal causes. There is need for holistic life-long interventional policies and strategies that will address the health need of these women, using evidence-based research findings.

摘要

目的

利用可靠的死亡率数据识别育龄妇女的健康问题,对于避免可预防的女性死亡至关重要。本研究旨在调查尼日利亚育龄妇女的死亡情况。

材料与方法

这是一项描述性回顾性研究,涉及2016年1月1日至2018年12月31日在德尔苏斯医院死亡的15至49岁育龄妇女。从医院记录中检索年龄、死亡日期和死因,随后使用SPSS 21版进行分析。

结果

本研究共遇到187例符合条件的死亡病例,占医院所有死亡病例总数的17.5%。24例(12.8%)病例为孕产妇病因,163例(87.2%)为非孕产妇病因。在非孕产妇病因中,非传染性疾病、传染性疾病和外伤分别导致100例(53.5%)、44例(23.5%)和19例(10.2%)死亡。平均年龄和高峰年龄组分别为34.4岁和第四年龄段。特定的主要非孕产妇死因(按降序排列)为艾滋病/结核病、脑血管意外(CVA)、乳腺癌、道路交通事故(RTA)、糖尿病、围手术期死亡和败血症,而主要的孕产妇死因是流产、产后出血、子痫和产褥期败血症。

结论

影响育龄妇女的大多数死亡是可以预防的,非孕产妇病因超过孕产妇病因。需要制定全面的终身干预政策和战略,利用循证研究结果满足这些妇女的健康需求。

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引用本文的文献

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Front Glob Womens Health. 2021 Dec 14;2:762984. doi: 10.3389/fgwh.2021.762984. eCollection 2021.
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Causes of maternal mortality in Sub-Saharan Africa: A systematic review of studies published from 2015 to 2020.撒哈拉以南非洲地区孕产妇死亡的原因:2015 年至 2020 年发表的研究的系统评价。
J Glob Health. 2021 Oct 9;11:04048. doi: 10.7189/jogh.11.04048. eCollection 2021.