Perinatal and Maternal Mortality Review Committee, Wellington, New Zealand.
Am J Obstet Gynecol. 2011 Oct;205(4):331.e1-8. doi: 10.1016/j.ajog.2011.07.044. Epub 2011 Jul 30.
We sought to describe a new classification system for contributory factors in, and potential avoidability of, maternal deaths and to determine the contributory factors and potential avoidability among 4 years of maternal deaths in New Zealand.
A new classification system for reporting contributory factors in all maternal deaths was developed from previous tools and applied to all maternal deaths in New Zealand from 2006 through 2009.
There were 49 deaths and the maternal mortality ratio was 19.2/100,000 maternities. Contributory factors were identified in 55% of cases. An expert panel identified 35% of maternal deaths as potentially avoidable. In cases where potential avoidability was determined, there were nearly always 2 or 3 domains where contributory factors were identified.
Almost one third of maternal deaths in New Zealand can be considered to be potentially avoidable. This methodology has the potential to identify areas for improvement in the quality of maternity care.
我们旨在描述一个新的孕产妇死亡相关因素及潜在可避免性的分类系统，并确定新西兰 4 年来孕产妇死亡的相关因素及潜在可避免性。
从既往工具中开发出一个新的报告孕产妇死亡相关因素的分类系统，并将其应用于新西兰 2006 年至 2009 年所有的孕产妇死亡病例。
共有 49 例死亡，孕产妇死亡率为 19.2/10 万分娩数。55%的病例确定了相关因素。一个专家小组认为 35%的孕产妇死亡是潜在可避免的。在确定潜在可避免性的病例中，几乎总有 2 或 3 个领域确定了相关因素。
新西兰近三分之一的孕产妇死亡可被认为是潜在可避免的。这种方法有可能确定改善产科护理质量的领域。
