Vallely Lisa M, Calvert Boe, De Silva Manarangi, Panisi Leeanne, Babona Delly, Bolnga John, Duro-Aina Titilola, Noovao-Hill Amanda, Naidu Swaran, Leisher Susannah, Flenady Vicki, Smith Rachel M, Vogel Joshua P, Homer Caroline S E
Global Health Program, Kirby Institute, University of New South Wales, Sydney, Australia.
Maternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, Australia.
Lancet Reg Health West Pac. 2022 Dec 13;32:100653. doi: 10.1016/j.lanwpc.2022.100653. eCollection 2023 Mar.
Despite positive trends in many indicators, there remains an unacceptable burden of preventable maternal, newborn deaths and stillbirths every year. This paper provides an overview of the maternal and perinatal outcomes across 22 Pacific Island Countries and Territories, including Papua New Guinea. We highlight some unique challenges and provide examples of initiatives in three of the larger countries to contribute to safer childbirth. There are high maternal and perinatal morbidity and mortality rates in many of the countries, although reliable data are limited. There are currently no data relating to the burden of intrapartum-related maternal and perinatal morbidity or stillbirth or the quality of intrapartum care. Varying definitions across countries for perinatal indicators mean that meaningful comparisons are difficult and unreliable. There is need for midwives and other maternal and newborn health providers to improve maternal and newborn indicators as countries advance towards the 2030 Sustainable Development Goals.
尽管许多指标呈现积极趋势，但每年仍有数量惊人的可预防孕产妇、新生儿死亡和死产负担。本文概述了包括巴布亚新几内亚在内的22个太平洋岛国和领地的孕产妇及围产期结局。我们强调了一些独特挑战，并列举了三个较大国家为实现更安全分娩所采取举措的实例。许多国家的孕产妇和围产期发病率及死亡率都很高，不过可靠数据有限。目前尚无关于分娩期相关孕产妇和围产期发病率、死产负担或分娩期护理质量的数据。各国对围产期指标的定义各不相同，这意味着有意义的比较既困难又不可靠。随着各国朝着2030年可持续发展目标迈进，助产士及其他孕产妇和新生儿健康服务提供者需要改善孕产妇和新生儿指标。
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