Rao K B
Obstet Gynecol. 1975 Oct;46(4):397-400.
During the 13 years 1960-1972, in a teaching hospital that serves a predominantly rural and semiurban population in southern India, there were 74,384 deliveries and 1245 maternal deaths, a maternal mortality rate of 16.7 per 1000 births. Direct obstetric factors caused 854 (65.5%) of these deaths. The leading indirect or associated causes of maternal deaths were anemia, cerebrovascular accidents, and infectious hepatitis. During the past 13 years, monthly maternal mortality meetings have helped to reduce the incidence of avoidable factors in maternal deaths among patients from the city but not among those brought from the surrounding countryside. The important causes of maternal deaths in this developing country, and their prevention, are individually discussed.
在1960年至1972年的13年间，在一家主要服务于印度南部农村和半城市人口的教学医院里，共有74384例分娩，1245例孕产妇死亡，孕产妇死亡率为每1000例分娩中有16.7例死亡。直接产科因素导致了其中854例（65.5%）死亡。孕产妇死亡的主要间接或相关原因是贫血、脑血管意外和传染性肝炎。在过去13年里，每月举行的孕产妇死亡情况会议有助于降低城市患者中可避免的孕产妇死亡因素的发生率，但对从周边农村送来的患者却没有效果。本文分别讨论了这个发展中国家孕产妇死亡的重要原因及其预防措施。
