Pandit R D
Department of Obstetrics and Gynaecology, Nowrosjee Wadia Maternity Hospital, G.S. Medical College, Bombay, India.
Asia Oceania J Obstet Gynaecol. 1992 Mar;18(1):1-6. doi: 10.1111/j.1447-0756.1992.tb00291.x.
Maternal mortality in the developed nations has been considerably reduced, but it still is very high in developing nations. I carried out an indepth study of maternal mortality at N. Wadia Maternity Hospital, Bombay. India, from 1929 to 1988, which revealed that the MMR which was 1920 per 100,000 live births during 1929-1939 period has declined to 82 per 100,000 live births during 1980-1988 period. This achievement in reduction of maternal mortality over the decades was due to multiple factors like increased and effective antenatal, intranatal, and postnatal care. This study shows the apathy of pregnant women to come forward to avail of antenatal care though available even free of charge nearby. To give maximum benefits to pregnant women specially in the developing nations, we have to carry the antenatal care at the door-steps of the community.
发达国家的孕产妇死亡率已大幅降低,但在发展中国家仍然很高。我对印度孟买的N. 瓦迪亚妇产医院1929年至1988年期间的孕产妇死亡率进行了深入研究,结果显示,1929 - 1939年期间每10万例活产的孕产妇死亡率为1920例,而在1980 - 1988年期间已降至每10万例活产82例。几十年来在降低孕产妇死亡率方面取得的这一成就归因于多种因素,如增加并有效提供产前、产时和产后护理。这项研究表明,尽管附近就有免费的产前护理服务,但孕妇们却不愿主动前来利用。为了给孕妇,特别是发展中国家的孕妇带来最大益处,我们必须将产前护理送到社区门口。