产妇死亡率的流行病学、趋势和差异:产科麻醉师的框架

IF 2.8 3区 医学 Q1 ANESTHESIOLOGY
Jimin J. Kim, Michaela K. Farber, Bushra W. Taha
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引用次数: 0

摘要

自2015年以来,全球孕产妇死亡率下降停滞不前。在世界某些地区,严重的产妇发病率和死亡率有所增加,大多数病例被认为是可预防的原因。产妇保健结果方面的巨大种族、族裔和地域差异,特别是在人口多样化的国家之间,进一步加剧了这种情况。产妇死亡和疾病的病因和表现广泛多样,往往需要多学科方法来应对风险和管理医疗复杂性。可能降低发病率和死亡率的策略包括应用风险分层模型和系统,以便及时识别临床恶化,实施孕产妇安全束,以及凝血试验和超声等护理点工具。本综述旨在提供流行病学、病因学和孕产妇发病率和死亡率结果差异的全面概述,并为麻醉师提供一个框架,帮助减轻风险和改善孕产妇健康结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Epidemiology, trends, and disparities in maternal mortality: A framework for obstetric anesthesiologists
Since 2015, reductions in maternal mortality have stalled globally. In some parts of the world, severe maternal morbidity and mortality have increased, and most cases are thought to be from preventable causes. This is further exacerbated by significant racial, ethnic, and geographic disparities in maternal health outcomes, particularly among countries with diverse populations. Etiologies and presentations of maternal death and disease are broad and diverse, often requiring a multidisciplinary approach to address risk and manage medical complexity. Strategies that may reduce morbidity and mortality include the application of risk stratification models and systems for prompt recognition of clinical deterioration, implementation of maternal safety bundles, and point-of care tools such as coagulation testing and ultrasound. This review aims to provide a comprehensive overview of the epidemiology, etiology, and disparities in maternal morbidity and mortality outcomes, and provide a framework for anesthesiologists in helping mitigate risk and improve maternal health outcomes.
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