Fernandez H, Djanhan Y, Papiernik E
Service de Gynécologie-Obstétrique, Hôpital A. Béclère, Clamart.
J Gynecol Obstet Biol Reprod (Paris). 1988;17(5):687-92.
Maternal mortality in the third world is fifty to two hundred times higher than in developed countries. Haemorrhage following birth or abortion is one of the leading causes of maternal mortality and a specific analysis of this can clarify the problems. The incidence of maternal death by haemorrhage is not clearly documented and fluctuates between 6 and 90 per cent. Patients predicted to be at high risk for haemorrhage in the third trimester should be automatically referred for a higher level of medical care. In fact, many cases of haemorrhage cannot be predicted and death depends on the rate of blood loss and on the pre-existing anaemia. Better nurses' and mid-wives' training, better ante natal care, and the treatment of anaemia should decrease maternal mortality.
第三世界国家的孕产妇死亡率比发达国家高50至200倍。分娩或流产后的出血是孕产妇死亡的主要原因之一，对此进行具体分析有助于厘清问题。因出血导致的孕产妇死亡发生率尚无明确记录，在6%至90%之间波动。预计在孕晚期有大出血高风险的患者应自动转诊至更高水平的医疗机构。事实上，许多出血情况无法预测，死亡取决于失血量和先前存在的贫血状况。加强护士和助产士培训、改善产前护理以及治疗贫血应可降低孕产妇死亡率。
