Naeye R L, Tafari N, Marboe C C, Judge D M
Bull World Health Organ. 1977;55(1):63-5.
Little has been published about the causes of most of the deaths responsible for the high perinatal mortality rates characteristic of preindustrial, urban societies. The present study searched for answers in one such society by identifying the causes of death in a large-scale analysis of perinatal mortality in Addis Ababa, Ethiopia. A 72% autopsy rate was achieved when 1019 postmortem examinations were performed for 1424 consecutive perinatal deaths. The overall perinatal mortality rate was 65.3 per thousand live births. The ratio of stillbirths to neonatal deaths was 2.7:1, indicating that maternal factors were dominant in causing the deaths. One-third of the deaths were due to amniotic fluid infections, 15% to obstructed labour, 8% to abruptio placentae, and the rest to more than 20 other specific disorders.
关于导致工业化前城市社会高围产期死亡率的大多数死亡原因，鲜有文献发表。本研究通过对埃塞俄比亚亚的斯亚贝巴围产期死亡率进行大规模分析，确定死亡原因，在这样一个社会中寻找答案。对1424例连续围产期死亡病例进行了1019次尸检，尸检率达到72%。总体围产期死亡率为每千例活产65.3例。死产与新生儿死亡的比例为2.7:1，表明母亲因素是导致死亡的主要因素。三分之一的死亡是由于羊水感染，15%是由于产程梗阻，8%是由于胎盘早剥，其余则是由20多种其他特定疾病导致。
