Kilpatrick Sarah J
Womens Health (Lond). 2015 Mar;11(2):193-9. doi: 10.2217/whe.14.80.
Maternal mortality is rising in the USA. The pregnancy-related maternal mortality ratio increased from 10/100,000 to 17/100,000 live births from the 1990s to 2012. A large proportion of maternal deaths are preventable. This review highlights a national approach to reduce maternal death and morbidity and discusses multiple efforts to reduce maternal morbidity, death and improve obstetric safety. These efforts include communication and collaboration between all stake holders involved in perinatal health, creation of national bundles addressing key maternal care areas such as hemorrhage management, call for all obstetric hospitals to review and analyze all cases of severe maternal morbidity, and access to contraception. Implementation of interventions based on these efforts is a national imperative to improve obstetric safety.
美国的孕产妇死亡率正在上升。从20世纪90年代到2012年，与妊娠相关的孕产妇死亡率从每10万例活产10例增至17例。很大一部分孕产妇死亡是可预防的。本综述强调了一种降低孕产妇死亡和发病的全国性方法，并讨论了为降低孕产妇发病率、死亡率以及改善产科安全性所做出的多项努力。这些努力包括参与围产期健康的所有利益相关者之间的沟通与协作、制定针对诸如出血管理等关键孕产妇护理领域的全国性综合措施、要求所有产科医院审查和分析所有严重孕产妇发病病例以及提供避孕措施。基于这些努力实施干预措施是提高产科安全性的一项国家要务。
