Kwast B E, Stevens J A
Int J Gynaecol Obstet. 1987 Apr;25(2):99-106. doi: 10.1016/0020-7292(87)90002-6.
Causes of maternal mortality were investigated in Addis Ababa, Ethiopia, from September 1981 to September 1983. Viral hepatitis ranked third among the leading causes of maternal mortality behind septic abortion and puerperal sepsis. There were 26 deaths from viral hepatitis during the 2-year study period for a hospital maternal mortality rate of 91.0 per 100,000 live births. Although 30% of women who died of all maternal causes received antenatal care in Addis Ababa, only 13% of women who died from viral hepatitis in our hospital study received antenatal care. Low socio-economic status (SES) has been shown to be associated with low antenatal care utilization and with an increased risk of protein malnutrition. Malnutrition is considered a predisposing factor for liver damage. Suggestions for reducing hepatitis transmission and maternal mortality through education, better hygiene, and improved sanitation are discussed.
1981年9月至1983年9月，在埃塞俄比亚亚的斯亚贝巴对孕产妇死亡原因进行了调查。病毒性肝炎在孕产妇死亡的主要原因中位列第三，仅次于感染性流产和产褥期败血症。在为期两年的研究期间，有26例死于病毒性肝炎，医院孕产妇死亡率为每10万活产91.0例。尽管在亚的斯亚贝巴，30%死于所有孕产妇原因的妇女接受了产前护理，但在我们医院的研究中，死于病毒性肝炎的妇女中只有13%接受了产前护理。社会经济地位低已被证明与产前护理利用率低以及蛋白质营养不良风险增加有关。营养不良被认为是肝损伤的一个诱发因素。本文讨论了通过教育、改善卫生和环境卫生来减少肝炎传播和孕产妇死亡的建议。
