Dick W, Traub E, Baur H, Konietzke D
Anaesthesist. 1985 Oct;34(10):481-8.
In order to obtain figures on the anaesthesia related maternal mortality in the Federal Republic of Germany, 707 hospitals have been addressed via questionnaire. Hospitals where obstetric departments and anaesthetic departments as well were available, were investigated for maternal mortality, anaesthetic requirements, and the complications which led to the maternal deaths during the period of 1971-1980. 38% (259 general hospitals and 10 university hospitals) responded; the geographical distribution seemed to be representative. The average maternal mortality rate was at 0.21%, which ranged from 0.21% for general hospitals to 0.16% for university hospitals. The overall anaesthesia related maternal mortality was around 6.4%. 20 of the reported 21 maternal deaths occurred under general anaesthesia and 1 under local anaesthesia; 17 patients died during caesarean section and 4 during vaginal delivery. The main complications which led to the maternal deaths were cardiac arrest and aspiration of gastric content with 38,1% each and convulsions with 4.8%. In 19% of the total maternal deaths the causes could not be determined. The importance of obstetric centres and of controlled anaesthetic methods delivery will be discussed on the basis of these and other figures which have been reported in the literature.
为了获取德意志联邦共和国与麻醉相关的孕产妇死亡率数据，通过问卷调查联系了707家医院。对设有产科和麻醉科的医院，调查了1971年至1980年期间的孕产妇死亡率、麻醉需求以及导致孕产妇死亡的并发症。38%（259家综合医院和10家大学医院）做出了回应；地理分布似乎具有代表性。平均孕产妇死亡率为0.21%，综合医院为0.21%，大学医院为0.16%。与麻醉相关的总体孕产妇死亡率约为6.4%。报告的21例孕产妇死亡中，20例发生在全身麻醉下，1例发生在局部麻醉下；17例患者死于剖宫产，4例死于阴道分娩。导致孕产妇死亡的主要并发症是心脏骤停和胃内容物误吸，各占38.1%，惊厥占4.8%。在所有孕产妇死亡中，19%的死因无法确定。将根据这些数据以及文献中报道的其他数据，讨论产科中心和可控麻醉方法分娩的重要性。
