Selik R M, Cates W, Tyler C W
Obstet Gynecol. 1981 Nov;58(5):631-5.
One hundred six women were reported to have died from abortions (55 legal, 10 illegal, and 41 spontaneous) in the United States from 1975 through 1977. In reviewing these deaths, the authors developed a new approach to mortality studies. A catalogue was compiled of behavioral factors (including actions by physicians, patients, communities, and institutions) that in the authors' judgment increased the risk of death from abortion. The proportion of abortion deaths to which each behavioral risk factor contributed was determined. Of the 199 different behavioral factors, 5 contributed to more than 10% of legal abortion deaths, 5 to more than 10% of illegal abortion deaths, and 3 to more than 10% of spontaneous abortion deaths. The most frequent factors involved were delay in obtaining a legal abortion until 13 weeks' gestation or later, incomplete abortion, and inappropriate choice of antibiotics for septic abortion. Assessing the proportion of abortion deaths to which each factor contributed can help identify which factors deserve priority in prevention.
据报告，1975年至1977年期间，美国有106名女性死于堕胎（55例合法堕胎、10例非法堕胎和41例自然流产）。在审查这些死亡案例时，作者开发了一种新的死亡率研究方法。编制了一份行为因素目录（包括医生、患者、社区和机构的行为），作者认为这些因素会增加堕胎死亡风险。确定了每个行为风险因素导致的堕胎死亡比例。在199个不同的行为因素中，有5个因素导致的合法堕胎死亡比例超过10%，5个因素导致的非法堕胎死亡比例超过10%，3个因素导致的自然流产死亡比例超过10%。最常见的因素包括合法堕胎延迟至妊娠13周或更晚、堕胎不完全以及败血症性流产抗生素选择不当。评估每个因素导致的堕胎死亡比例有助于确定哪些因素在预防中应优先考虑。
