Cook Jocelynn L, Majd Mina, Blake Jennifer, Barrett Jon Yosef, Bouvet Sylvie, Janssen Patricia, Knight Marian, Lisonkova Sarka, Scott Heather, Tough Suzanne, Wong Tom
The Society of Obstetricians and Gynaecologists of Canada, Ottawa, ON; Department of Obstetrics and Gynaecology, University of Ottawa, Ottawa, ON.
The Society of Obstetricians and Gynaecologists of Canada, Ottawa, ON.
J Obstet Gynaecol Can. 2017 Nov;39(11):1028-1037. doi: 10.1016/j.jogc.2017.06.021.
Maternal mortality and severe maternal morbidity are devastating for women, their families, and care providers. International efforts have been made to develop and to implement data collection, management, and surveillance systems that capture pregnancy-related information that can be assessed and used to improve health and system outcomes. At present, Canada does not have a national enquiry process to review maternal deaths, severe morbidity, and near misses, and has not set targets for maternal mortality reduction. Maternal mortality rates are critical measures of maternal health and provide important information for analysis of trends and priorities among and within countries. Information about near misses as well as maternal morbidity is crucial to truly understand and to prevent maternal mortality. Canadian experts must work together with governments, provinces, and territories to determine key indicators, measurement, and meaningful data analysis strategies. These data and their comparisons will form the foundation of evidence to guide programs, policies, priorities, and interventions that will ultimately improve the health of mothers and their children.
孕产妇死亡率和严重孕产妇发病情况对妇女及其家庭以及医护人员来说是灾难性的。国际社会已做出努力，以开发和实施数据收集、管理及监测系统，这些系统可获取与妊娠相关的信息，而这些信息能够得到评估并用于改善健康状况和系统成效。目前，加拿大没有全国性的调查程序来审查孕产妇死亡、严重发病情况和险些发生的死亡情况，也未设定降低孕产妇死亡率的目标。孕产妇死亡率是衡量孕产妇健康的关键指标，为分析各国之间及各国国内的趋势和优先事项提供重要信息。关于险些发生的死亡情况以及孕产妇发病情况的信息对于真正理解和预防孕产妇死亡至关重要。加拿大专家必须与政府、各省及地区共同努力，确定关键指标、衡量标准以及有意义的数据分析策略。这些数据及其比较结果将构成证据基础，以指导各项计划、政策、优先事项和干预措施，最终改善母亲及其子女的健康状况。
