Li W, Zhou R
Second Affiliated Hospital, West-China University of Medical Sciences, Chengdu.
Zhonghua Fu Chan Ke Za Zhi. 1995 Jan;30(1):27-9.
The causes and change of maternal death in this hospital from 1949 to 1990 was analyzed. The average maternal mortality of 42 years was 150.22/10(5) livebirths. The 42 years was divided into four periods which were 1949-1960, 1960-1970, 1971-1980 and 1981-1990. The results showed that the maternal mortality rate lowered from 365.31/10(5) livebirths in first period to 43.67/10(5) livebirths in the 4th period. The difference was markedly significant P < 0.01. The direct obstetric causes of maternal deaths in these periods were 30.00%, 23.81%, 25.00% and 55.56% respectively and increased in the 4th period. Obstetric hemorrhage (55.71%) pregnancy induced hypertension (31.43%) and preperal infection (11.43%) were the three main causes of maternal deaths in direct obstetric causes. Cardiac diseases (40.00%) was the leading cause in indirect causes.
分析了本院1949年至1990年孕产妇死亡的原因及变化。42年间孕产妇平均死亡率为150.22/10⁵活产。这42年分为四个时期，即1949 - 1960年、1960 - 1970年、1971 - 1980年和1981 - 1990年。结果显示，孕产妇死亡率从第一时期的365.31/10⁵活产降至第四时期的43.67/10⁵活产。差异有极显著统计学意义（P < 0.01）。这些时期孕产妇死亡的直接产科原因分别为30.00%、23.81%、25.00%和55.56%，且在第四时期有所增加。产科出血（55.71%）、妊娠高血压（31.43%）和产褥感染（11.43%）是直接产科原因中孕产妇死亡的三个主要原因。心脏病（40.00%）是间接原因中的主要死因。
