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与艾滋病病毒相关的孕产妇死亡——德班爱德华八世医院的主要死因

HIV-associated maternal mortality--primary causes of death at King Edward VIII Hospital, Durban.

作者信息

Ramogale M R, Moodley J, Sebiloane M H

机构信息

Department of Obstetrics and Gynaecology, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa.

出版信息

S Afr Med J. 2007 May;97(5):363-6.

Abstract

BACKGROUND

The maternal mortality ratio in poor countries is reported to be 650/100,000 live births. This high maternal mortality may be associated with increasing numbers of HIV related deaths in sub-Saharan Africa.

OBJECTIVE

To establish the direct causes of maternal mortality related to the HIV syndrome.

METHODS

A retrospective analysis was done of 378 maternal deaths at King Edward VIII Hospital, Durban, between January 1998 and December 2004. Results. The commonest cause of death related to HIV was World Health Organization (WHO) clinical classification stage IV disease, followed by pneumonia (bacterial and Pneumocystis carinii pneumonia), pregnancy-related sepsis and pulmonary tuberculosis.

CONCLUSION

HIV/AIDS has a great impact on maternal mortality in South Africa, mainly because of the increasing incidence of this syndrome in women in their early reproductive years.

摘要

背景

据报道,贫困国家的孕产妇死亡率为每10万例活产中有650例死亡。这种高孕产妇死亡率可能与撒哈拉以南非洲地区与艾滋病毒相关的死亡人数增加有关。

目的

确定与艾滋病毒综合征相关的孕产妇死亡的直接原因。

方法

对1998年1月至2004年12月期间德班爱德华八世医院的378例孕产妇死亡病例进行了回顾性分析。结果。与艾滋病毒相关的最常见死亡原因是世界卫生组织(WHO)临床分类IV期疾病,其次是肺炎(细菌性和卡氏肺孢子虫肺炎)、妊娠相关败血症和肺结核。

结论

艾滋病毒/艾滋病对南非的孕产妇死亡率有很大影响,主要是因为该综合征在育龄早期妇女中的发病率不断上升。

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