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[孕产妇死亡率。新千年的一项挑战]

[Maternal mortality. A challenge of the new millennium].

作者信息

Rosales Aujang Enrique, Felguerez Flores J Alberto

机构信息

Ginecología y Obstetricia Hospital General de Zona No. 2.

出版信息

Ginecol Obstet Mex. 2002 Oct;70:502-9.

Abstract

Maternal mortality is a principal concern of the contemporary society because of consequence to generate since the most cases to be about young woman and healthy, whose death be able to avoid. This study analyzed the cases registered in Aguascalientes delegation of IMSS during ten years with purpose to find strategy for to salve. The case fatality rate was average of 26.1 x 100,000 alive births. The principal causes was the obstetric hemorrhages; preeclampsia and lung thrombosis. The greater percentage was in woman aged between 25-39 years and multiparous. Most of 50% doing appropriate prenatal control. A greater percentage was pregnancy of term with 77.4 a live births and 59% performed cesarean sections. 93% was through the puerperium. Only 20% was to classify as treatment inappropriate and inopportune and 74% was maternal mortality foreseeable. Some type responsibility existed in 38.7%.

摘要

孕产妇死亡率是当代社会的一个主要关切问题,因为大多数病例涉及年轻且健康的女性,而她们的死亡本可避免,这会产生相应后果。本研究分析了墨西哥社会保障局阿瓜斯卡连特斯分部十年间登记的病例,目的是找到挽救策略。病死率为每10万例活产平均26.1例。主要原因是产科出血、先兆子痫和肺血栓形成。较大比例发生在25至39岁的经产妇中。50%的人进行了适当的产前检查。较大比例的分娩为足月产,活产率为77.4%,59%的产妇进行了剖宫产。93%的死亡发生在产褥期。只有20%被归类为治疗不当和时机不当,74%的孕产妇死亡是可预见的。38.7%存在某种类型的责任。

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