Ayhan A, Bilgin F, Tuncer Z S, Tuncer R, Yanik A, Kişnisçi H A
Department of Obstetrics and Gynecology, Haceffepe University School of Medicine, Ankara, Turkey.
Int J Gynaecol Obstet. 1994 Mar;44(3):223-8. doi: 10.1016/0020-7292(94)90170-8.
To highlight recent trends in maternal mortality in Hacettepe University Hospital.
A retrospective clinical analysis of 117 maternal deaths between 1968 and 1992.
The overall maternal mortality ratio was 180/100,000 (108/59,993). In terms of 5-year periods, the maternal mortality ratio declined from 417.7 in 1968-72 to 73.7 in 1988-92. Infection was the most common cause of death (59.8%), followed by cardiac disease (8.5%) and hemorrhage (8.5%). Infection related deaths were either due to septic abortion (75.7%) or puerperal sepsis (24.3%). While 73.9% of all deaths were due to infection in 1968-72, this figure contributed only 9.1% of the deaths in 1988-92. When infection, hemorrhage, cardiac disease ad toxemia are investigated together, percentages of their contribution varies from 95.7% in 1968-72 to 54.5% in 1988-92 period.
Maternal mortality ratios are decreasing significantly in our institution. An another promising finding is the further reduction in direct causes especially in recent years. However, an improvement in the care of pregnant women is necessary to continue this declining trend.
强调哈杰泰佩大学医院孕产妇死亡率的近期趋势。
对1968年至1992年间117例孕产妇死亡病例进行回顾性临床分析。
孕产妇总死亡率为180/100,000（108/59,993）。按5年时间段来看，孕产妇死亡率从1968 - 1972年的417.7降至1988 - 1992年的73.7。感染是最常见的死亡原因（59.8%），其次是心脏病（8.5%）和出血（8.5%）。与感染相关的死亡要么是由于感染性流产（75.7%），要么是产褥期败血症（24.3%）。1968 - 1972年所有死亡中有73.9%是由感染导致的，而在1988 - 1992年这一数字仅占死亡总数的9.1%。当综合研究感染、出血、心脏病和中毒血症时，它们的贡献百分比从1968 - 1972年的95.7%变化到1988 - 1992年的54.5%。
我们机构的孕产妇死亡率正在显著下降。另一个有希望的发现是直接死因进一步减少，尤其是近年来。然而，为持续这一下降趋势，有必要改善对孕妇的护理。
