叙利亚的孕产妇死亡率：原因、促成因素及可预防性。
Maternal mortality in Syria: causes, contributing factors and preventability.
作者信息
Bashour Hyam, Abdulsalam Asmaa, Jabr Aisha, Cheikha Salah, Tabbaa Mohammed, Lahham Moataz, Dihman Reem, Khadra Mazen, Campbell Oona M R
机构信息
Department of Family and Community Medicine, Faculty of Medicine, Damascus University, Damascus, Syria.
出版信息
Trop Med Int Health. 2009 Sep;14(9):1122-7. doi: 10.1111/j.1365-3156.2009.02343.x. Epub 2009 Jul 14.
OBJECTIVES
To describe the biomedical and other causes of maternal death in Syria and to assess their preventability.
METHODS
A reproductive age mortality study (RAMOS) design was used to identify pregnancy related deaths. All deaths among women aged 15-49 reported to the national civil register for 2003 were investigated through home interviews. Verbal autopsies were used to ascertain the cause of death among pregnancy related maternal deaths, and causes and preventability of deaths were assessed by a panel of doctors.
RESULTS
A total of 129 maternal deaths were identified and reviewed. Direct medical causes accounted for 88%, and haemorrhage was the main cause of death (65%). Sixty nine deaths (54%) occurred during labour or delivery. Poor clinical skills and lack of clinical competency were behind 54% of maternal deaths. Ninety one percent of maternal deaths were preventable.
CONCLUSIONS
The causes of maternal death in Syria and their contributing factors reflect serious defects in the quality of maternal care that need to be urgently rectified.
目的
描述叙利亚孕产妇死亡的生物医学及其他原因，并评估其可预防性。
方法
采用生殖年龄死亡率研究（RAMOS）设计来确定与妊娠相关的死亡。通过入户访谈对2003年向国家民事登记处报告的所有15至49岁女性死亡病例进行调查。采用口头尸检确定与妊娠相关的孕产妇死亡原因，并由一组医生评估死亡原因及可预防性。
结果
共识别并审查了129例孕产妇死亡病例。直接医学原因占88%，出血是主要死因（65%）。69例死亡（54%）发生在分娩期间。54%的孕产妇死亡是由临床技能差和缺乏临床能力导致的。91%的孕产妇死亡是可预防的。
结论
叙利亚孕产妇死亡的原因及其影响因素反映出孕产妇护理质量存在严重缺陷，需要紧急纠正。
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