三级护理医院的孕产妇死亡评审

Maternal Death Reviews at a Tertiary Care Hospital.

作者信息

Upadhyaya Indira

机构信息

Paropakar Maternity and Women's Hospital, Thapathali, Kathmandu, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2014 Jan-Mar;52(193):713-8.

PMID:26905554

Abstract

INTRODUCTION

All pregnant women are at risk of obstetrical complications which occurs during labor and delivery that lead to maternal death. Here to report a 10 year review of maternal mortality ratio in "Paropakar Maternity and Women's Hospital (PMWH) Thapathali Kathmandu, Nepal.

METHODS

Medical records of 66 maternal deaths were reviewed to study the likely cause of each death over the study period.

RESULTS

There were a total of 66 maternal deaths. While 192487 deliveries conducted over the 10 year period. The maternal mortality ratio (MMR) was 356.64/100000 live birth. The highest MMR of 74.22/100,000 was observed in 2059 and lowest was 17.42/100,000 in 2068 B.S. Leading cause of MMR was remained hemorrhage accounting for 30.30% followed by eclampsia 24.24%. Sepsis, suspected cases of pulmonary embolism and amniotic fluid embolism each contributing 15.15%, 4.54% and 3.03% respectively. Where as anesthetic complication and abortion constitutes 6.06 % each equally for maternal death. The death noted in older women (30+year) were 36.36%. Primipara accounted for more deaths (51.51%).

CONCLUSIONS

The fall in maternal mortality rate has been observed except for year 2063 BS. Hemorrhage is the main contributing cause behind maternal mortality.

摘要

引言

所有孕妇在分娩过程中都面临产科并发症的风险，这些并发症可能导致孕产妇死亡。在此报告对尼泊尔加德满都塔帕塔利的帕罗帕卡尔妇产医院（PMWH）孕产妇死亡率进行的10年回顾。

方法

回顾了66例孕产妇死亡的病历，以研究研究期间每例死亡的可能原因。

结果

共有66例孕产妇死亡。在这10年期间共进行了192487次分娩。孕产妇死亡率（MMR）为356.64/10万活产。2059年观察到的最高MMR为74.22/10万，2068年最低为17.42/10万。MMR的主要原因仍然是出血，占30.30%，其次是子痫，占24.24%。败血症、疑似肺栓塞和羊水栓塞分别占15.15%、4.54%和3.03%。而麻醉并发症和流产各占孕产妇死亡的6.06%。年龄较大（30岁以上）女性的死亡占36.36%。初产妇的死亡人数更多（51.51%）。