比勒陀利亚学术综合医院的严重急性孕产妇发病和死亡情况：4年期间的变化模式

Severe acute maternal morbidity and mortality in the Pretoria Academic Complex: changing patterns over 4 years.

作者信息

Vandecruys Hilde I B, Pattinson Robert C, Macdonald A P, Mantel Gerald D

机构信息

MRC Research Unit for Maternal and Infant Health Care Strategies, Department of Obstetrics and Gynecology, Kalafong Academic Hospital, University of Pretoria, Pretoria 0001, South Africa.

出版信息

Eur J Obstet Gynecol Reprod Biol. 2002 Apr 10;102(1):6-10. doi: 10.1016/s0301-2115(01)00558-9.

DOI:10.1016/s0301-2115(01)00558-9

PMID:12039082

Abstract

OBJECTIVE

To compare the severe acute maternal morbidity (SAMM) and maternal mortality in the Pretoria Academic Complex for the year 2000 and the years 1997-1999.

STUDY DESIGN

SAMM and maternal mortality was identified at daily audit meetings. The audit was performed from 1 January 2000 to 31 December 2000 and compared with the data obtained from the original 2-year audit [Br J Obstet Gynecol 105 (1998) 985]. The mortality index (MI) was defined as Maternal Death (MD) divided by SAMM and MD. This index is used to assess the standard of care in specific maternal conditions. Data was assessed using the Chi square test.

RESULTS

SAMM and maternal mortality has significantly declined in all patients with a reduction in abortion complications as the main contributor (268/100,000 births versus 94/100,000 births P<0.006). There is a non-significant trend to increased morbidity and mortality in hypertension, hemorrhage and infections.

CONCLUSIONS

The standard of care was constant. An audit of SAMM and maternal mortality allows for early detection of trends and early changes in health strategies.

摘要

目的

比较比勒陀利亚学术综合医院2000年以及1997 - 1999年的严重急性孕产妇发病情况（SAMM）和孕产妇死亡率。

研究设计

通过每日审核会议确定SAMM和孕产妇死亡率。审核时间为2000年1月1日至2000年12月31日，并与最初为期两年的审核数据[《英国妇产科杂志》105(1998)985]进行比较。死亡率指数（MI）定义为孕产妇死亡（MD）除以SAMM和MD。该指数用于评估特定孕产妇情况下的护理标准。数据采用卡方检验进行评估。