Zhang L M, Ding H
Beijing Municipal Institute for Women Health Care.
Zhonghua Fu Chan Ke Za Zhi. 1994 Sep;29(9):514-7, 572.
An analysis of maternal mortality in 247 cities, districts and countries of 30 provinces, municipalities and autonomous regionscovering a population of 100,000,000 in China in 1989-1991 was reported. The total number of live births was 4,201,457 in the pilot area, and the number of maternal deaths was 3,274 giving an average maternal mortality rate (MMR) of 80.0/100,000. After correction, the average MMR was 87.8/100,000. The MMR per annum was in decreasing trends and in different regions were different from one another. The first 6 leading causes of maternal deaths in 3,274 cases, in decreasing order of importance, were: obstetric hemorrhage, pregnancy induced hypertension, cardiac diseases, puerperal infection, amniotic fluid embolism, and hepatic diseases. The result of audit on maternal deaths was as follow: 89.0% of the maternal deaths were avoidable, and 11.0% were unavoidable. Three aspects of the maternal deaths in China were formulated form this study.
据报道，对1989 - 1991年中国30个省、直辖市和自治区的247个市、区、县进行了孕产妇死亡率分析，覆盖人口达1亿。试点地区的活产总数为4,201,457例，孕产妇死亡数为3,274例，平均孕产妇死亡率（MMR）为80.0/10万。校正后，平均孕产妇死亡率为87.8/10万。每年的孕产妇死亡率呈下降趋势，不同地区之间存在差异。在3,274例孕产妇死亡病例中，前6位主要死因按重要性递减依次为：产科出血、妊娠高血压、心脏病、产褥感染、羊水栓塞和肝脏疾病。孕产妇死亡审核结果如下：89.0%的孕产妇死亡是可避免的，11.0%是不可避免的。本研究总结了中国孕产妇死亡的三个方面情况。
