Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Baylor College of Medicine, 6651 Main Street, Suite F420, Houston, Texas.
Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Baylor College of Medicine, 6651 Main Street, Suite F420, Houston, Texas.
Semin Perinatol. 2019 Jun;43(4):218-221. doi: 10.1053/j.semperi.2019.03.007. Epub 2019 Mar 9.
A sustained increase in the maternal death rate in the U.S. remains one of the most challenging issues of the twenty-first century. Ten years ago, we investigated the major conditions contributing to the maternal death rate between the years 2000 and 2006. The leading causes of death in the U.S. at that time were complications of preeclampsia, pulmonary thromboembolism, amniotic fluid embolism, obstetric hemorrhage and cardiac disease. Venous thromboembolism accounted for 9% of all maternal death, and an overall pregnancy-related mortality risk of 0.9 maternal deaths per 100,000 live births. VTE was the most common preventable cause of maternal death noted during that time period. In this paper, we will review and summarize changes in obstetric health care over the last ten years implemented to prevent VTE and its related morbidity. We will then examine opportunities for hospitals and hospital systems to improve VTE prophylaxis.
美国的孕产妇死亡率持续上升，仍是 21 世纪最具挑战性的问题之一。十年前，我们研究了导致 2000 年至 2006 年孕产妇死亡率的主要因素。当时美国孕产妇死亡的主要原因是子痫前期、肺血栓栓塞、羊水栓塞、产科出血和心脏病并发症。静脉血栓栓塞症占所有孕产妇死亡的 9%，每 10 万例活产中总妊娠相关死亡率为 0.9 例。静脉血栓栓塞症是当时孕产妇死亡最常见的可预防原因。在本文中，我们将回顾和总结过去十年中为预防静脉血栓栓塞症及其相关发病率而实施的产科保健措施的变化。然后，我们将探讨医院和医院系统改善静脉血栓栓塞症预防的机会。
