Boerma J T
Stud Fam Plann. 1987 Jul-Aug;18(4):213-21.
This paper is aimed at improving our ability to assess the magnitude of maternal mortality in developing countries, where reliable data on maternal deaths are scarce. First, the upper and lower limits of maternal mortality in a population are determined based on the general levels of mortality and fertility in a population. The relative importance of maternal deaths as a proportion of death among women of reproductive ages may, therefore, vary from less than 1 percent in low-mortality countries to about 25-30 percent in high-mortality countries. Second, the analysis and interpretation of maternal mortality data from health facilities and vital registration systems can be improved if a variety of other data sources are used, such as coverage of deliveries in hospitals and at home, and all causes of death among women of reproductive age. It is estimated that approximately 515,000 women died annually due to pregnancy-related causes in developing countries between 1980 and 1985. Ninety percent of these deaths took place in Africa and South Asia, where births are frequent and maternal mortality levels are high.
本文旨在提高我们评估发展中国家孕产妇死亡率的能力，因为在这些国家，关于孕产妇死亡的可靠数据稀缺。首先，根据人口中的死亡率和生育率总体水平来确定某一人群中孕产妇死亡率的上限和下限。因此，孕产妇死亡在育龄妇女死亡中所占的相对重要性，在低死亡率国家可能低于1%，而在高死亡率国家则可能约为25%至30%。其次，如果使用各种其他数据源，如医院和家庭分娩的覆盖率以及育龄妇女的所有死因，那么对来自卫生设施和人口动态登记系统的孕产妇死亡率数据的分析和解读就能得到改进。据估计，1980年至1985年期间，发展中国家每年约有51.5万名妇女死于与妊娠相关的原因。其中90%的死亡发生在非洲和南亚，这些地区生育频繁且孕产妇死亡率很高。
