Infant, Maternal and Reproductive Health Unit, Florida Department of Health, 4052 Bald Cypress Way, Tallahassee, FL 32399-1723, USA.
Semin Perinatol. 2012 Feb;36(1):31-6. doi: 10.1053/j.semperi.2011.09.007.
At the beginning of the 20th century, maternal mortality was a leading cause of death for women of reproductive age in the United States. Obstetrical care was not standardized, and there was a lack of universal systems for monitoring maternal deaths. Public health efforts of surveillance, along with advances in medicine and sanitation, resulted in a significant decrease in maternal deaths by the early 1980s. Today, maternal death is considered to be a rare event; however, the rates of maternal mortality have not improved in almost 3 decades. There is growing evidence that many maternal deaths can still be prevented through enhanced surveillance that influences improvements in overall health and delivery of care. This paper describes the experience of establishing and maintaining a pregnancy-associated mortality surveillance system in Florida. Emphasis is placed on the process and importance of a statewide review and the value of engagement with the medical community.
在 20 世纪初，孕产妇死亡是美国育龄妇女的主要死因之一。产科护理没有标准化，也没有普遍的监测孕产妇死亡的系统。通过监测公共卫生工作以及医学和卫生方面的进步，到 20 世纪 80 年代初，孕产妇死亡人数显著下降。如今，孕产妇死亡被认为是一种罕见的事件；然而，近 30 年来，孕产妇死亡率并没有改善。越来越多的证据表明，通过加强监测，可以预防许多孕产妇死亡，这将影响整体健康状况的改善和护理的提供。本文描述了在佛罗里达州建立和维护妊娠相关死亡监测系统的经验。重点介绍了全州范围内审查的过程和重要性，以及与医疗界合作的价值。
