Division of Reproductive Health, Centers for Disease Control and Prevention, 4770 Buford Highway, Atlanta, GA 30030, USA.
Semin Perinatol. 2012 Feb;36(1):2-6. doi: 10.1053/j.semperi.2011.09.002.
Although dramatic improvements in pregnancy care and in general population health facilitated a dramatic decline in maternal mortality in the United States during the 20th century, women still die from complications of pregnancy. Moreover, rates appear to have increased during the early 21st century. This overview will provide context for understanding the problem of maternal mortality in the United States by outlining how maternal mortality rates are reported from National Vital Statistics data, and how pregnancy-related mortality ratios are reported from a national surveillance system. Trends and patterns in these deaths as well as emerging issues concerning causes of maternal deaths and the difficulty with interpreting trend data will be discussed.
尽管 20 世纪美国在妊娠护理和一般人群健康方面取得了显著进步，使得孕产妇死亡率大幅下降，但仍有女性死于妊娠并发症。此外，在 21 世纪初，这一比率似乎有所上升。本文将通过概述国家生命统计数据中如何报告孕产妇死亡率，以及国家监测系统中如何报告与妊娠相关的死亡率比，为了解美国孕产妇死亡问题提供背景信息。本文将讨论这些死亡的趋势和模式，以及与孕产妇死亡原因和解释趋势数据的困难有关的新问题。
