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首页> 美国卫生研究院文献>BMC Medicine >Monitoring progress in reducing maternal mortality using verbal autopsy methods in vital registration systems: what can we conclude about specific causes of maternal death?
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Monitoring progress in reducing maternal mortality using verbal autopsy methods in vital registration systems: what can we conclude about specific causes of maternal death?

机译：在生命登记系统中使用口头验尸方法监测降低孕产妇死亡率的进展：关于孕产妇死亡的具体原因我们可以得出什么结论？

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摘要

Reducing maternal mortality is a key focus of development strategies and one of the indicators used to measure progress towards achieving the Sustainable Development Goals. In the absence of medical certification of the cause of deaths that occur in the community, verbal autopsy (VA) methods are the only available means to assess levels and trends of maternal deaths that occur outside health facilities. The 2016 World Health Organization VA Instrument facilitates the identification of eight specific causes of maternal death, yet maternal deaths are often unsupervised, leading to sparse and generally poor symptom reporting to inform a reliable diagnosis using VAs. There is little research evidence to support the reliable identification of specific causes of maternal death in the context of routine VAs. We recommend that routine VAs are only used to capture the event of a maternal death and that more detailed follow-up interviews are used to identify the specific causes.Electronic supplementary materialThe online version of this article (10.1186/s12916-019-1343-4) contains supplementary material, which is available to authorized users.
机译：降低孕产妇死亡率是发展战略的重点，也是衡量实现可持续发展目标进展情况的指标之一。在缺乏社区死亡原因的医学证明的情况下，言语尸检（VA）方法是评估卫生机构以外发生的孕产妇死亡水平和趋势的唯一可用方法。 2016年世界卫生组织VA仪器有助于识别八种导致孕产妇死亡的具体原因，但孕产妇死亡通常不受监督，导致症状报告稀疏且总体上较差，无法为使用VA的可靠诊断提供依据。很少有研究证据支持在常规VA的背景下可靠地确定孕产妇死亡的具体原因。我们建议常规VA仅用于捕获孕产妇死亡的事件，并使用更详细的后续访谈来确定具体原因。电子补充材料本文的在线版本（10.1186 / s12916-019-1343-4 ）包含补充材料，授权用户可以使用。

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