Grunewald Charlotta, Esscher Annika, Lutvica Ajlana, Parén Lisa, Saltvedt Sissel
Karolinska Universitetssjukhuset - PO Graviditet och Förlossning Stockholm, Sweden Karolinska Universitetssjukhuset - PO Graviditet och Förlossning Stockholm, Sweden.
Uppsala Universitet - Kvinnosjukvården Uppsala, Sweden Uppsala Universitet - Kvinnosjukvården Uppsala, Sweden.
Lakartidningen. 2019 Sep 27;116:FPL4.
MM-ARG, the Swedish maternal maternity mortality group within SFOG (Swedish Society of Obstetrics and Gynecology) has, since 2008, surveyed and analysed maternal deaths in Sweden with the aim to find and give feedback on lessons learned to the medical professions. MM-ARG consists of obstetricians, midwives and anesthetists and the strength of the working model is that the profession itself takes responsibility for the scrutiny. A summary of 67 known maternal deaths from 2007‒2017 is presented. Direct causes of death are dominated by hypertensive disease/preeclampsia, followed by thromboembolic disease, sepsis and obstetric bleeding. Indirect death, where a known or unknown underlying disease is exacerbated by pregnancy, is dominated by cardiovascular disease. This review shows that the diagnostics and clinical management could be improved. Besides obstetrics/gynecology, maternal mortality affects other specialties and thus holds important lessons to many.
MM - ARG是瑞典妇产科学会（SFOG）内的瑞典孕产妇死亡研究小组，自2008年以来，该小组对瑞典的孕产妇死亡情况进行了调查和分析，目的是找出经验教训并反馈给医疗行业。MM - ARG由产科医生、助产士和麻醉师组成，该工作模式的优势在于行业自身负责审查。本文呈现了2007年至2017年间67例已知孕产妇死亡病例的总结。直接死因以高血压疾病/先兆子痫为主，其次是血栓栓塞性疾病、败血症和产科出血。间接死亡是指已知或未知的基础疾病因妊娠而加重，其主要原因是心血管疾病。本综述表明，诊断和临床管理仍有待改进。除了妇产科，孕产妇死亡还涉及其他专科领域，因此对许多领域都有重要的借鉴意义。
