Okonofua F E, Abejide A, Makanjuola R A
Department of Obstetrics and Gynecology, College of Medical Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria.
Stud Fam Plann. 1992 Sep-Oct;23(5):319-24.
The objective of this study was to determine which background factors predispose women to maternal mortality at the Obafemi Awolowo University Hospital in Nigeria. The study examined 35 cases of maternal death occurring in the hospital during the period 1 October 1989 to 30 April 1991. The control group comprised 35 women who were admitted to the hospital with similar complications during the same period, but who survived. Both cases and controls were investigated for their sociodemographic characteristics, their use of prenatal care, and the incidence of delay in clinical management. The results showed that the maternal deaths involved women who were younger and of poorer socioeconomic status than the women in the control group. Both groups showed an equal lack of prenatal care. However, a higher incidence of delayed treatment was found in the management of the cases of maternal deaths. Maternal mortality in the study population can be reduced through improved transportation and institutional management, and, on a long-term basis, through the adoption of measures to improve the socioeconomic status of women.
本研究的目的是确定在尼日利亚奥巴费米·阿沃洛沃大学医院，哪些背景因素会使女性易患孕产妇死亡。该研究调查了1989年10月1日至1991年4月30日期间在该医院发生的35例孕产妇死亡病例。对照组由同期因类似并发症入院但存活的35名女性组成。对病例组和对照组都调查了其社会人口学特征、产前护理的使用情况以及临床管理延误的发生率。结果显示，与对照组女性相比，孕产妇死亡病例中的女性年龄更小且社会经济地位更低。两组产前护理的缺乏程度相当。然而，在孕产妇死亡病例的管理中发现治疗延误的发生率更高。通过改善交通和机构管理，以及长期采取措施提高女性的社会经济地位，可以降低研究人群中的孕产妇死亡率。
