NEJM:聚焦孕产妇死亡率

创作:hx 审核:可乐 11月30日
美国孕产妇死亡率在上升,并高于其他高收入国家,其中黑人的死亡率是白人的3-4倍;
最常见的致死性怀孕并发症包括产后出血、严重的血压增高、静脉栓塞;
四个措施可以降低产科死亡率:提高医院对产科并发症及死亡的重视,建全多科室会诊制度以准确评估产妇危险因素,开展产科危急病人处理模拟演练,建立不同等级医院之间联合转诊制度;
建议针对农村地区家庭医生开展产科综合培训;
降低产科死亡率需要卫生系统及全社会的共同努力。
延伸阅读

What We Can Do about Maternal Mortality - And How to Do It Quickly

为降低孕产妇死亡率,我们能做什么?应该如何快速行动?

11-01, Perspective, 10.1056/NEJMp1810649more

Abstract:
most Americans take for granted that giving birth in a U.S. hospital will be a safe experience resulting in a healthy mother and baby. However, recent reports in the lay media — an NPR special series called “Lost Mothers: Maternal Mortality in the U.S.”; a New York Times article on closures of rural maternal services; and a USA Today series, “Deadly Deliveries” — discuss increasing maternal mortality in the United States and the significant concern it presents for childbearing women and their families.

First Authors:
Susan Mann

Correspondence Authors:
Susan Mann

All Authors:
Susan Mann,Lisa M Hollier,Kimberlee McKay,Haywood Brown