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合法人工流产后的死亡。基于记录链接确定与流产相关死亡的综合方法。

Death after legally induced abortion. A comprehensive approach for determination of abortion-related deaths based on record linkage.

作者信息

Shelton J D, Schoenbucher A K

出版信息

Public Health Rep. 1978 Jul-Aug;93(4):375-8.

PMID:684149
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1431916/
Abstract

The sources for determination of abortion-related deaths in Georgia are the cause of death listed on the death certificate and reports from informal reporting channels. Although Georgia residents 10-44 years of age obtained 19,877 induced abortions in 1975, no deaths related to abortion were found through these two usual sources. To determine the sensitivity of this system, all abortion certificates for 1975 were compared with all death certificates of Georgia females aged 10-44 who died in 1975 and the first 2 months of 1976. Based on the age and racial distribution of the women who received abortions, approximately 13 deaths (from all causes) would be expected to have subsequently occurred during the period of time studied. The authors found only 10. From national death-to-case rates for legal abortion, the expected number actually atrributable to abortion was 0.78 death. Of the 10 deaths, 2 were potentially related to the previous abortion, but a causal relationship to the preceding abortion was not clearly evident for any of the 10 deaths. The data, therefore, tend to support the assertion that no large numbers of deaths related to abortion are undiscovered and that current measurements of abortion mortality are accurate.

摘要

佐治亚州确定与堕胎相关死亡的来源是死亡证明上列出的死因以及来自非正式报告渠道的报告。尽管1975年佐治亚州10至44岁的居民进行了19,877例人工流产,但通过这两种常规来源未发现与堕胎相关的死亡病例。为了确定该系统的敏感性,将1975年所有堕胎证明与1975年及1976年头两个月死亡的佐治亚州10至44岁女性的所有死亡证明进行了比较。根据接受堕胎手术女性的年龄和种族分布,预计在研究期间随后会发生约13例(各种原因导致的)死亡。作者仅发现了10例。根据合法堕胎的全国死亡与病例比率,实际可归因于堕胎的预期死亡人数为0.78例。在这10例死亡中,有2例可能与先前的堕胎有关,但这10例死亡中的任何一例与先前堕胎的因果关系都不明显。因此,这些数据倾向于支持这样一种说法,即没有大量与堕胎相关的死亡未被发现,并且目前对堕胎死亡率的衡量是准确的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b59e/1431916/bb6137c913b7/pubhealthrep00141-0070-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b59e/1431916/bb6137c913b7/pubhealthrep00141-0070-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b59e/1431916/bb6137c913b7/pubhealthrep00141-0070-a.jpg

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本文引用的文献

1
Illegal abortions in the united states: 1972-1974.美国1972 - 1974年的非法堕胎情况。
Fam Plann Perspect. 1976 Mar-Apr;8(2):86-92.
2
Trends in national abortion mortality, United States, 1940-1974: implications for prevention of future abortion deaths.1940 - 1974年美国全国堕胎死亡率趋势:对预防未来堕胎死亡的启示
Adv Plan Parent. 1976;11(3):106-13.
3
Legal abortion mortality in the United States. Epidemiologic surveillance, 1972-1974.美国合法堕胎死亡率。1972 - 1974年流行病学监测
JAMA. 1977 Jan 31;237(5):452-5.