Infectious Disease Epidemiology Unit, Department of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, Keppel Street, UK.
Best Pract Res Clin Obstet Gynaecol. 2009 Jun;23(3):305-16. doi: 10.1016/j.bpobgyn.2009.01.001. Epub 2009 Feb 7.
Although obstetric complications are sometimes presented as a relatively easy alternative to maternal deaths, difficulties remain in their definition and identification, and there is limited experience with the use of severe obstetric complications as a starting point for audits or case reviews or as an indicator for monitoring the success of safe motherhood programmes in low-income countries. In this paper we review published studies reporting on the measurement of severe acute maternal morbidity in low-income countries. We found 37 studies from 24 countries. We describe the definition and ascertainment of cases of severe acute maternal morbidity and we give examples of how information on severe acute maternal morbidity has been used to inform safe motherhood programmes in low-income countries.
虽然产科并发症有时被认为是一种相对容易的替代产妇死亡的方法，但在其定义和识别方面仍存在困难，并且在使用严重产科并发症作为审计或病例审查的起点，或作为监测低收入国家安全孕产方案成功的指标方面经验有限。本文回顾了已发表的关于测量低收入国家严重急性产妇发病率的研究报告。我们在 24 个国家发现了 37 项研究。我们描述了严重急性产妇发病率的定义和确定方法，并举例说明了如何利用严重急性产妇发病率的信息来为低收入国家的安全孕产方案提供信息。
