Bernstein J
Brandeis University, Boston, MA, USA.
J Obstet Gynecol Neonatal Nurs. 1995 Nov-Dec;24(9):803-10. doi: 10.1111/j.1552-6909.1995.tb02564.x.
Ectopic pregnancy rates have quadrupled during the last decade. Although maternal mortality has been reduced for white women, largely because of rapid pregnancy testing and improved ultrasonography, the death rate for minority women is almost twice that of white women, and minority adolescents are almost five times as likely to die of ectopic pregnancy. In this article, causative factors are identified, and the potential for race, gender, and age bias in diagnosis and treatment is discussed. Involvement by nurses in preventive programs, clinical research, and advocacy for policy change may help reduce ectopic pregnancy mortality rates.
在过去十年间，异位妊娠率翻了两番。虽然白人女性的孕产妇死亡率有所下降，这主要得益于快速妊娠检测和超声检查技术的改进，但少数族裔女性的死亡率几乎是白人女性的两倍，少数族裔青少年死于异位妊娠的可能性几乎是白人青少年的五倍。本文将找出致病因素，并探讨诊断和治疗过程中存在种族、性别和年龄偏见的可能性。护士参与预防项目、临床研究以及倡导政策变革，可能有助于降低异位妊娠死亡率。
