孕产妇死亡率：一项印度妇产科和妇科医师协会研究（基于机构数据）
Maternal Mortality: A FOGSI Study (Based on Institutional Data).
作者信息
Konar Hiralal, Chakraborty Asit Baran
机构信息
Department of Obstetrics & Gynaecology, Calcutta National Medical College & Hospital, CD-55, Salt Lake City, Sector-1, Kolkata, 700 064 India.
Demography, Nilratan Sircar Medical College & Hospital, 138 A.J.C. Bose Road, Kolkata, 700 014 India.
出版信息
J Obstet Gynaecol India. 2013 Apr;63(2):88-95. doi: 10.1007/s13224-012-0258-1. Epub 2012 Sep 27.
OBJECTIVE
The aim of this study of maternal deaths through FOGSI members is to see its current STATUS.
METHOD
A three-year retrospective observational study from January 2005 to December 2007 formed the basis for collection of the data for analysis.
RESULTS
A wide variation of maternal mortality ratio (MMR) in the five zones (West-342; South-229; East-709; North East-709 and North-814) was observed. Leading causes of maternal deaths also varied among the zones [hemorrhage in West (31 %), South (26 %), and North East (21.5 %); hypertension in East (34 %) and North (22 %)]. When the data were analyzed as a whole, the leading causes of deaths were determined as hypertension (29.4 %), hemorrhage (21.56 %), sepsis (15.05 %), and medical disorders (12 %). Analysis of data in India (including Kerala State) for the year 2005 revealed significant drop in MMR to 147.
CONCLUSION
MMR in India varied widely in zones. There is significant difference in MMR for the whole country as well as for the south zone with or without inclusion of Kerala. Areas of discrepancy in data had been observed in different sources. Prioritization of causes of death and appropriate allocation of resources are needed. A prospective study for evaluation of exact MMR in India is an immediate necessity.
目的
本研究旨在通过印度妇产科医师协会（FOGSI）成员了解孕产妇死亡的现状。
方法
以2005年1月至2007年12月为期三年的回顾性观察研究作为收集分析数据的基础。
结果
观察到五个地区的孕产妇死亡率（MMR）差异很大（西部为342；南部为229；东部为709；东北部为709；北部为814）。各地区孕产妇死亡的主要原因也有所不同[西部（31%）、南部（26%）和东北部（21.5%）为出血；东部（34%）和北部（22%）为高血压]。整体分析数据时，确定主要死亡原因是高血压（29.4%）、出血（21.56%）、败血症（15.05%）和内科疾病（12%）。2005年印度（包括喀拉拉邦）的数据显示MMR显著下降至147。
结论
印度各地区的MMR差异很大。无论是否纳入喀拉拉邦，全国以及南部地区的MMR都存在显著差异。不同来源的数据存在差异。需要对死亡原因进行优先排序并合理分配资源。当务之急是开展一项前瞻性研究以评估印度的确切MMR。
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