Kotb Nadia A, Ibrahim Samah F
Forensic Medicine and Clinical Toxicology, Faculty of Medicine, Cairo University, Saudi Arabia.
Forensic Medicine and Clinical Toxicology, Faculty of Medicine, Cairo University, Saudi Arabia; Faculty of Medicine, Princess Nourah Bint-Abdulrahman University, Saudi Arabia.
J Forensic Leg Med. 2018 Nov;60:25-29. doi: 10.1016/j.jflm.2018.09.003. Epub 2018 Sep 7.
Pregnancy-associated deaths are a widely recognized phenomenon, that warrants in-depth investigation. Of the 319 suspicious deaths of adult women (>20 years) autopsied during 2011-2012, in the Cairo and Giza governorates, 37 (11.7%) women were pregnant at the time of the autopsy. This paper analyzes the corresponding demographic data, autopsy findings, and toxicological screening.
Reveal that the number of deaths of pregnant women were higher in 2012 than in 2011. In addition, the number of cases from Giza exceeded those from Cairo (62.2% and 37.8%, respectively). Most cases involved married women (62.2%) in the third trimester of pregnancy (67.5%). Most deaths were predominantly un-intentional (51.4%) attributed to peri-partum complications. Homicidal deaths contributed to 43% of cases, and the husband was the suspect perpetrator in 37.5% of cases. Only two cases were associated with substance abuse.
the paper concludes that this analysis may inform future strategies to protect pregnant women from the hazards of violence and labor that threaten their lives.
妊娠相关死亡是一种广为人知的现象，值得深入调查。在2011年至2012年期间对开罗和吉萨省319名成年女性（>20岁）进行的可疑死亡尸检中，有37名（11.7%）女性在尸检时已怀孕。本文分析了相应的人口统计学数据、尸检结果和毒理学筛查情况。
显示2012年孕妇死亡人数高于2011年。此外，来自吉萨省的病例数超过了开罗省（分别为62.2%和37.8%）。大多数病例涉及已婚女性（62.2%），处于妊娠晚期（67.5%）。大多数死亡主要是意外（51.4%），归因于围产期并发症。他杀死亡占病例的43%，其中37.5%的病例中丈夫是可疑肇事者。只有两例与药物滥用有关。
本文得出结论，该分析可为未来保护孕妇免受威胁其生命的暴力和分娩危害的策略提供参考。
