Wittmann B K, Murphy K J, King J F, Yuen B H, Shaw D, Wittmann A G
Department of Obstetrics and Gynaecology, Faculty of Medicine, University of British Columbia, Vancouver.
CMAJ. 1988 Jul 1;139(1):37-40.
We reviewed the 56 maternal deaths in British Columbia in 1971-78 and 1979-86 identified through the provincial Ministry of Health and compared the findings with data for the two preceding 8-year periods. The maternal death rate, defined as the number of deaths directly or indirectly related to pregnancy or delivery per 100,000 live births, decreased from 42 in 1955-62 to 5 in 1979-86. In the same interval the number of direct obstetric deaths decreased from 100 to 10 and the number of indirect deaths from 29 to 8. The number of deaths due to abortion decreased from 32 to 1. There was no change in the number of deaths among North American Indians. There was also no change in the number of deaths due to hypertension, most of which were avoidable; these findings have stimulated intensive teaching efforts to increase recognition and improve management of the problem. Review of maternal deaths can help identify deficiencies in the quality of care and can direct measures aimed at further reducing the maternal death rate.
我们回顾了通过省卫生部确认的1971 - 1978年以及1979 - 1986年不列颠哥伦比亚省的56例孕产妇死亡病例，并将结果与此前两个8年期间的数据进行了比较。孕产妇死亡率定义为每10万例活产中直接或间接与妊娠或分娩相关的死亡人数，从1955 - 1962年的42降至1979 - 1986年的5。在同一时期，直接产科死亡人数从100降至10，间接死亡人数从29降至8。因堕胎导致的死亡人数从32降至1。北美印第安人的死亡人数没有变化。因高血压导致的死亡人数也没有变化，其中大多数是可以避免的；这些发现促使加强教学工作，以提高对该问题的认识并改善管理。对孕产妇死亡病例的回顾有助于发现护理质量方面的不足，并指导采取旨在进一步降低孕产妇死亡率的措施。
