土耳其孕产妇死亡情况的变化趋势，重点关注直接和间接原因。
Changing trends in the Turkish maternal deaths, with a focus on direct and indirect causes.
作者信息
Engin-Üstün Yaprak, Sanisoğlu Sema, Keskin Hüseyin Levent, Karaahmetoğlu Selma, Özcan Ayşe, Çelen Şevki, Üstün Yusuf, Alkan Afra, Ongun Veli, Şencan İrfan
机构信息
Turkish Public Health Agency, Preliminary Investigation Committee for Maternal Deaths, Government of Health, Ankara, Turkey.
Turkish Public Health Agency, Preliminary Investigation Committee for Maternal Deaths, Government of Health, Ankara, Turkey.
出版信息
Eur J Obstet Gynecol Reprod Biol. 2019 Mar;234:21-25. doi: 10.1016/j.ejogrb.2018.12.031. Epub 2019 Jan 6.
OBJECTIVE
Our aim is to evaluate trends in the direct and indirect causes' distribution using data from National Maternal Mortality Surveillance (2012-2015).
STUDY DESIGN
A population-based retrospective review was performed on all pregnancy-associated maternal deaths in Turkey from 2012 to 2015. Causes of death were grouped into direct and indirect maternal deaths and compared in the context of distribution. Maternal mortality rate was reported. Statistics included chi-square test or Fisher's exact test for categorical variables.
RESULTS
Between 2012 and 2015 there were 812 maternal deaths. The maternal mortality rate was 15.4 deaths per 100,000 live births in 2012 as compared to 13.7 in 2015. Direct maternal deaths in Turkey declined from 59.5% in 2012 to 45% in 2015 while indirect maternal deaths increased from 45% in 2012 to 55% in 2015 (p = 0.045). The leading direct causes of maternal deaths were postpartum hemorrhage. The major indirect causes of maternal deaths were circulatory system diseases.
CONCLUSION
Direct maternal deaths in Turkey appear to be declining. This data will aid the management of maternal deaths.
目的
我们的目标是利用国家孕产妇死亡监测（2012 - 2015年）的数据评估直接和间接死因的分布趋势。
研究设计
对2012年至2015年土耳其所有与妊娠相关的孕产妇死亡进行基于人群的回顾性研究。死亡原因分为直接和间接孕产妇死亡，并在分布背景下进行比较。报告了孕产妇死亡率。统计分析包括对分类变量进行卡方检验或费舍尔精确检验。
结果
2012年至2015年期间有812例孕产妇死亡。2012年孕产妇死亡率为每10万例活产中有15.4例死亡，而2015年为13.7例。土耳其直接孕产妇死亡比例从2012年的59.5%降至2015年的45%，而间接孕产妇死亡比例从2012年的45%升至2015年的55%（p = 0.045）。孕产妇死亡的主要直接原因是产后出血。孕产妇死亡的主要间接原因是循环系统疾病。
结论
土耳其直接孕产妇死亡似乎在下降。这些数据将有助于孕产妇死亡的管理。
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