1993 - 1997年美国分娩期孕产妇发病率情况
Magnitude of maternal morbidity during labor and delivery: United States, 1993-1997.
作者信息
Danel Isabella, Berg Cynthia, Johnson Christopher H, Atrash Hani
机构信息
National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA.
出版信息
Am J Public Health. 2003 Apr;93(4):631-4. doi: 10.2105/ajph.93.4.631.
Abstract
OBJECTIVES
This study sought to determine the prevalence of maternal morbidity during labor and delivery in the United States.
METHODS
Analyses focused on National Hospital Discharge Survey data available for women giving birth between 1993 and 1997.
RESULTS
The prevalence of specific types of maternal morbidity was low, but the burden of overall morbidity was high. Forty-three percent of women experienced some type of morbidity during their delivery hospitalization. Thirty-one percent (1.2 million women) had at least 1 obstetric complication or at least 1 preexisting medical condition.
CONCLUSIONS
Maternal morbidity during delivery is frequent and often preventable. Reducing maternal morbidity is a national health objective, and its monitoring is key to improving maternal health.
摘要
目的
本研究旨在确定美国分娩期间孕产妇发病情况的患病率。
方法
分析聚焦于1993年至1997年间分娩女性的全国医院出院调查数据。
结果
特定类型孕产妇发病情况的患病率较低，但总体发病负担较高。43%的女性在分娩住院期间出现了某种类型的发病情况。31%（120万女性）至少有1种产科并发症或至少1种既往存在的疾病。
结论
分娩期间孕产妇发病情况很常见，且往往是可预防的。降低孕产妇发病情况是一项国家卫生目标，对其进行监测是改善孕产妇健康的关键。
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本文引用的文献
1
Maternal mortality, United States and Canada, 1982-1997.
Birth. 2000 Mar;27(1):4-11. doi: 10.1046/j.1523-536x.2000.00004.x.
2
Association between method of delivery and maternal rehospitalization.
JAMA. 2000 May 10;283(18):2411-6. doi: 10.1001/jama.283.18.2411.
3
Use of hospital discharge data to monitor uterine rupture--Massachusetts, 1990-1997.
MMWR Morb Mortal Wkly Rep. 2000 Mar 31;49(12):245-8.
4
Births: final data for 1997.
Natl Vital Stat Rep. 1999 Apr 29;47(18):1-96.
5
Maternal mortality--United States, 1982-1996.
MMWR Morb Mortal Wkly Rep. 1998 Sep 4;47(34):705-7.
6
Pregnancy-associated hospitalizations in the United States in 1991 and 1992: a comprehensive view of maternal morbidity.
Am J Obstet Gynecol. 1998 Feb;178(2):346-54. doi: 10.1016/s0002-9378(98)80024-0.
7
Hospitalizations for severe complications of pregnancy, 1987-1992.
Obstet Gynecol. 1997 Aug;90(2):225-9. doi: 10.1016/S0029-7844(97)00230-5.
8
National hospital discharge survey: annual summary, 1994.
Vital Health Stat 13. 1997 May(128):i-v; 1-50.
9
Length-of-stay after delivery: managed care versus fee-for-service.
Health Aff (Millwood). 1996 Winter;15(4):74-80. doi: 10.1377/hlthaff.15.4.74.
10
Pregnancy-related mortality in the United States, 1987-1990.
Obstet Gynecol. 1996 Aug;88(2):161-7. doi: 10.1016/0029-7844(96)00135-4.
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