Atrash H K, Friede A, Hogue C J
Division of Reproductive Health, Centers for Disease Control, Atlanta, Georgia.
Obstet Gynecol. 1987 Dec;70(6):817-22.
Ectopic pregnancy is now the second leading cause of maternal mortality in the United States. We describe changes in ectopic pregnancy mortality and characterize the risk of death from ectopic pregnancy for different groups, using ectopic pregnancy deaths identified by the national Vital Statistics System for 1970-1983, ectopic pregnancy-related deaths investigated by the Centers for Disease Control for 1979-1982, and ectopic pregnancy cases estimated from the National Hospital Discharge Survey for 1970-1983. During both 1970-1976 and 1977-1983, women of black and other races were at significantly increased risk of death from ectopic pregnancy compared with white women. This increased risk held for all ages and all geographic regions. Little variation existed in the risk of death from ectopic pregnancy by age and geographic region. From 1970-1983, the risk of death from ectopic pregnancy declined among all races and ages in all regions. These data suggest that black women, and in particular teenagers and older women, may have inadequate access to gynecologic and prenatal services. Active outreach may reduce the risk of death from ectopic pregnancy.
异位妊娠目前是美国孕产妇死亡的第二大主要原因。我们利用国家生命统计系统确定的1970 - 1983年异位妊娠死亡病例、疾病控制中心调查的1979 - 1982年与异位妊娠相关的死亡病例以及根据1970 - 1983年国家医院出院调查估算的异位妊娠病例，描述异位妊娠死亡率的变化，并确定不同群体因异位妊娠死亡的风险特征。在1970 - 1976年和1977 - 1983年期间，与白人女性相比，黑人和其他种族的女性因异位妊娠死亡的风险显著增加。这种风险增加在所有年龄段和所有地理区域都存在。异位妊娠死亡风险在年龄和地理区域方面变化不大。从1970年到1983年，所有种族、所有年龄段以及所有地区因异位妊娠死亡的风险都有所下降。这些数据表明，黑人女性，尤其是青少年和老年女性，可能无法充分获得妇科和产前服务。积极的外展服务可能会降低异位妊娠死亡的风险。
