Haas David M, Rivera-Alsina Manuel E, McNamara Michael F
Department of Obstetrics and Gynecology, Naval Medical Center San Diego, San Diego, California, USA.
J Reprod Med. 2005 Dec;50(12):951-3.
To determine the maternal mortality ratio (MMR) in Department of Defense medical facilities from 1993 to 1998.
We conducted a retrospective review of birth data from military medical facilities using the Standard Inpatient Data Records from 1993 through 1998. The total number of live births and dispositions due to maternal death were obtained.
Twenty-two maternal deaths occurred in the study time out of 398,107 live births, for an MMR of 5.5 per 100,000 live births. The ratiosfor the service branches were: Army 7.0, Navy 5.3 and Air Force 3.6. The leading cause of death was embolic disease.
The military MMR is closer to the Healthy People 2010 goal of 3.3 than is the national ratio, 13.2. Improved reporting of cases, patient education and treating high-risk conditions may help further decrease pregnancy-related mortality.
确定1993年至1998年国防部医疗设施中的孕产妇死亡率（MMR）。
我们使用1993年至1998年的标准住院数据记录，对军事医疗设施的出生数据进行了回顾性审查。获得了活产总数和因孕产妇死亡导致的处置情况。
在研究期间，398,107例活产中有22例孕产妇死亡，孕产妇死亡率为每10万例活产5.5例。各军种的比率分别为：陆军7.0，海军5.3，空军3.6。主要死因是栓塞性疾病。
与全国比率13.2相比，军队的孕产妇死亡率更接近《健康人民2010》设定的3.3的目标。改善病例报告、患者教育以及治疗高危病症可能有助于进一步降低与妊娠相关的死亡率。
