Tuncer R A, Erkaya S, Sipahi T, Kutlar I
Zübeyde Hanim Maternity Hospital, Section of Obstetrics, Altindağ, Ankara, Turkey.
Acta Obstet Gynecol Scand. 1995 Sep;74(8):604-6. doi: 10.3109/00016349509013470.
To determine the leading causes of maternal mortality in a large maternity hospital and to define priorities regarding this subject throughout Turkey.
Retrospective, institutional study among 100,531 live births between 1983 and 1992.
Seventeen maternal deaths took place in this institution. Thus, the overall maternal mortality ratio was 16.9 per 100,000. The leading causes of maternal mortality were hemorrhage in seven (41.2%) and pulmonary embolism in six (35.3%) patients. The majority of deaths were observed in the 25-29 and 30-34 age groups and in patients with parity more than two.
The relatively low figure of 16.9/100,000 for maternal mortality may be seen as a promising health index. However, obstetric hemorrhage is still the leading cause of this series. Pregnant women less than 20 years old and greater than 35 years old, and grand multiparous women as well as women with hypertension and heart disease are at high mortality risk. The observation of such cases demands further efforts for improved obstetric care in the hospital and throughout Turkey.
确定一家大型妇产医院孕产妇死亡的主要原因，并明确整个土耳其在该主题上的优先事项。
对1983年至1992年间100531例活产进行回顾性机构研究。
该机构发生了17例孕产妇死亡。因此，孕产妇总死亡率为每10万例中有16.9例。孕产妇死亡的主要原因是7例（41.2%）出血和6例（35.3%）肺栓塞。大多数死亡发生在25 - 29岁和30 - 34岁年龄组以及多产患者中。
孕产妇死亡率相对较低的16.9/10万这一数字可被视为一个有前景的健康指标。然而，产科出血仍是该系列中的主要原因。年龄小于20岁和大于35岁的孕妇、多产妇女以及患有高血压和心脏病的妇女处于高死亡风险中。对这些病例的观察需要在医院以及整个土耳其进一步努力改善产科护理。
