Zhonghua Fu Chan Ke Za Zhi. 1991 Jan;26(1):2-5, 60.
An analysis of maternal mortality in 287 cities, districts and counties of 21 provinces, municipalities and autonomous regions covering a population of 177,550,000 in China in 1984-1985 was reported. Total number of live births was 15,466,368 in the areas investigated, with 4 669078 in the urban areas and 10,797,290 in rural areas. The number of maternal deaths was 7,485 882 were in urban areas and 6,603 in rural areas, giving a maternal mortality of 18.9/100,000 in urban areas and 61.2/100,000 in rural areas. Deaths due to direct obstetric causes constituted 71% of the total deaths. The sequences of the main causes were: obstetric hemorrhage, cardiac diseases, pregnancy induced hypertension, amniotic fluid embolism and puerperal infection. Obstetric hemorrhage caused nearly half of the total deaths. The maternal care for these cases was unsatisfactory. The average number of antenatal examination was only 2. In the rural areas half of the cases were delivered not in hospital but at home, and 1/6 of the cases died on the way to hospital. A discussion was made on the investigated material.
据报道，对1984 - 1985年中国21个省、直辖市和自治区的287个市、区、县进行了孕产妇死亡率分析，覆盖人口1.7755亿。调查地区的总出生人数为15466368人，其中城市地区为4669078人，农村地区为10797290人。孕产妇死亡人数为7485人，城市地区为882人，农村地区为6603人，城市地区孕产妇死亡率为18.9/10万，农村地区为61.2/10万。直接产科原因导致的死亡占总死亡人数的71%。主要原因顺序为：产科出血、心脏病、妊娠高血压、羊水栓塞和产褥感染。产科出血导致近一半的总死亡人数。这些病例的孕产妇护理情况不佳。产前检查平均次数仅为2次。在农村地区，一半的产妇不在医院分娩而是在家中分娩，六分之一的产妇在送往医院途中死亡。对调查材料进行了讨论。
