斯里兰卡因心脏病导致的孕产妇死亡率。
Maternal mortality due to cardiac disease in Sri Lanka.
作者信息
Haththotuwa Hasanthi R, Attygalle Deepika, Jayatilleka Anoma C, Karunaratna Vineetha, Thorne Sara A
机构信息
Heartlands Hospital, Birmingham, Birmingham, UK.
出版信息
Int J Gynaecol Obstet. 2009 Mar;104(3):194-8. doi: 10.1016/j.ijgo.2008.10.031. Epub 2008 Dec 10.
OBJECTIVE
To investigate Sri Lankan maternal deaths due to heart disease and to consider low-cost interventions to reduce these deaths.
METHODS
A qualitative study based on retrospective audit of all maternal deaths and late maternal deaths in Sri Lanka caused by cardiac disease in 2004.
RESULTS
A total of 145 maternal deaths were recorded in 2004, for a maternal mortality rate of 38 per 100,000. There were 42 indirect deaths, 25 of which were due to cardiac disease; 23 deaths had a specific cardiac cause listed. Standard care was identified in prepregnancy counseling, contraception, and prenatal community and specialist care.
CONCLUSION
Cardiac disease is a major cause of maternal mortality in Sri Lanka, second only to postpartum hemorrhage. Rheumatic mitral valve disease is responsible for more than a third of maternal deaths from cardiac disease. Substandard care was identified in all cases; strategies to improve care could allow a reduction in maternal cardiac deaths.
目的
调查斯里兰卡因心脏病导致的孕产妇死亡情况，并考虑采用低成本干预措施以减少此类死亡。
方法
基于对2004年斯里兰卡所有因心脏病导致的孕产妇死亡和晚期孕产妇死亡进行回顾性审计的定性研究。
结果
2004年共记录了145例孕产妇死亡，孕产妇死亡率为每10万例中有38例。有42例间接死亡，其中25例归因于心脏病；23例死亡列出了具体的心脏病因。在孕前咨询、避孕以及产前社区和专科护理方面确定了标准护理措施。
结论
心脏病是斯里兰卡孕产妇死亡的主要原因，仅次于产后出血。风湿性二尖瓣疾病导致的孕产妇死亡占心脏病所致孕产妇死亡的三分之一以上。所有病例均发现护理不达标；改善护理的策略可降低孕产妇心脏病死亡人数。
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