孕产妇死亡率趋势：在加纳农村地区进行的一项为期13年的基于医院的研究。

Trends in maternal mortality: a 13-year hospital-based study in rural Ghana.

作者信息

Geelhoed Diederike W, Visser Lucia E, Asare Kofi, Schagen van Leeuwen Jules H, van Roosmalen Jos

机构信息

Holy Family Hospital, Berekum, Region, Brong Ahafo, Ghana.

出版信息

Eur J Obstet Gynecol Reprod Biol. 2003 Apr 25;107(2):135-9. doi: 10.1016/s0301-2115(02)00224-5.

DOI:10.1016/s0301-2115(02)00224-5

PMID:12648857

Abstract

OBJECTIVE

To measure the impact of the Safe Motherhood Initiative (SMI) on hospital-based maternal mortality since its start in 1987.

STUDY DESIGN

Retrospective analysis of all 229 maternal deaths in a district hospital in rural Ghana, between 1 January 1987 and 1 January 2000. Main outcome measures were maternal mortality ratio and relative contribution of causes of maternal deaths to overall maternal mortality. Chi-square test was used to assess differences in proportions, and relative risks with confidence intervals were calculated.

RESULTS

The overall maternal mortality ratio of 1077/100,000 live births did not change significantly during the study period. However, the relative contributions of sepsis, hemorrhage, obstructed labor, anemia/sickle cell disease and (pre-) eclampsia diminished, while abortion complications increased significantly.

CONCLUSIONS

The Safe Motherhood Initiative in the study area has contributed to the reduction of maternal mortality due to causes against which interventions were directed. Abortion complications as cause of maternal mortality need to be included in interventions and research.

摘要