Hickey M U, Kasonde J M
Med J Zambia. 1977 Jun-Jul;11(3):74-8.
Eighty maternal deaths occurring at the University Teaching Hospital (UTH) Lusaka, from 1974-1976 have been reviewed. The maternal mortality rate was 1.5 per 1000 births. The commonest causes of death were pre-eclampsia and eclampsia (23), septicaemia (14), haemorrhage (13) and ruptured uterus (11). Avoidable hospital factors were present in 52 percent of cases, while avoidable outside factors were noted in 27 percent. Thirty two per cent had no antenatal care. The mortality rate may be reduced by increased awareness of high risk patients by medical staff in the central hospital. Improvements in community maternal health services and better transport and communications are essential.
对1974年至1976年期间在卢萨卡大学教学医院（UTH）发生的80例孕产妇死亡病例进行了回顾。孕产妇死亡率为每1000例分娩中有1.5例死亡。最常见的死亡原因是先兆子痫和子痫（23例）、败血症（14例）、出血（13例）和子宫破裂（11例）。52%的病例存在可避免的医院因素，而27%的病例存在可避免的外部因素。32%的患者未接受产前护理。通过中心医院医务人员提高对高危患者的认识，死亡率可能会降低。改善社区孕产妇保健服务以及改善交通和通信至关重要。
