Lewis Gwyneth
Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland.
Br Med Bull. 2003;67:27-37. doi: 10.1093/bmb/ldg009.
Avoiding maternal deaths is possible, even in resource-poor countries, but requires the right kind of information on which to base programmes. Knowing the level of maternal mortality is not enough; we need to understand the underlying factors that led to the deaths. Each maternal death or case of life-threatening complication has a story to tell and can provide indications on practical ways of addressing its causes and determinants. Maternal death or morbidity reviews provide evidence of where the main problems in overcoming maternal mortality and morbidity may lie, produce an analysis of what can be done in practical terms and highlight the key areas requiring recommendations for health sector and community action as well as guidelines for improving clinical outcomes. The information gained from such enquiries must be used as a prerequisite for action.
即使在资源匮乏的国家，避免孕产妇死亡也是有可能的，但这需要有正确的信息作为项目的依据。仅仅了解孕产妇死亡率水平是不够的；我们需要明白导致这些死亡的潜在因素。每一例孕产妇死亡或危及生命的并发症都有其背后的故事，并能为解决其成因和决定因素提供切实可行的方法。孕产妇死亡或发病情况审查能提供证据，表明在克服孕产妇死亡率和发病率方面主要问题可能出在哪里，能对实际可采取的措施进行分析，并突出需要为卫生部门和社区行动提出建议以及为改善临床结果制定指导方针的关键领域。从这类调查中获得的信息必须用作采取行动的先决条件。
