Ezugwu E C, Onah H E, Ezugwu F O, Okafor I I
Department of Obstetrics/Gynaecology, Enugu State University Teaching Hospital, Parklane, Enugu, Nigeria.
Afr J Reprod Health. 2009 Dec;13(4):67-72.
Nigeria has one of the highest maternal mortality ratios in the world. The study was to determine the trend of maternal mortality ratio in the hospital as it transits from a General through a Specialist to a Teaching hospital. It was a retrospective review of maternal deaths at Enugu State University Teaching Hospital Parklane, over its 5 year transition period (January 2004 to December 2008). There were 7146 live births and 60 maternal deaths giving an overall maternal mortality ratio (MMR) of 840/100,000 livebirths. The MMR rose from 411 to 1137/100,000 live births as a specialist hospital, with a decline to 625/100,000 as a Teaching hospital. Pre-eclampsia/eclampsia was the leading cause (29.63%) of maternal death. MMR was highest as a Specialist hospital due to limited manpower and inadequate facilities to properly manage the rising number of referred obstetric emergencies. Adequate preparations should be made before upgrading a hospital, to enable it cope with the challenges of managing referred obstetric emergencies
尼日利亚是全球孕产妇死亡率最高的国家之一。该研究旨在确定一家医院从综合医院转变为专科医院再转变为教学医院过程中孕产妇死亡率的变化趋势。这是一项对埃努古州立大学教学医院帕克 lane 分院在其 5 年过渡期（2004 年 1 月至 2008 年 12 月）内孕产妇死亡情况的回顾性研究。共有 7146 例活产，60 例孕产妇死亡，总体孕产妇死亡率（MMR）为 840/10 万活产。作为专科医院时，MMR 从 411/10 万活产升至 1137/10 万活产，而作为教学医院时降至 625/10 万活产。子痫前期/子痫是孕产妇死亡的主要原因（29.63%）。作为专科医院时 MMR 最高，原因是人力有限且设施不足，无法妥善处理转诊而来的产科急症数量不断增加的情况。在医院升级之前应做好充分准备，使其能够应对管理转诊产科急症的挑战。
