Walraven G E, Mkanje R J, van Roosmalen J, van Dongen P W, Dolmans W M
Sumve Designated District Hospital, Mwanza Region, Tanzania.
Br J Obstet Gynaecol. 1994 May;101(5):414-7. doi: 10.1111/j.1471-0528.1994.tb11914.x.
To assess maternal mortality.
Prospective community-based survey, a sisterhood method survey and hospital data.
The study was performed in communities in a rural area in Northwestern Tanzania and the local district hospital.
Four hundred and forty-seven pregnant women in the community survey were followed up as far as six weeks after delivery; there were 2865 respondents in the sisterhood survey; the hospital study involved 7526 deliveries. Maternal morality ratios derived from the prospective community-based survey, the sisterhood method survey and hospital data analysis were 241, 297, and 845 per 100,000 live births, respectively.
Hospital data tend to overestimate maternal mortality in these communities. The sisterhood method is easier and more convenient than a prospective community-based study.
评估孕产妇死亡率。
前瞻性社区调查、姐妹会方法调查和医院数据。
该研究在坦桑尼亚西北部农村地区的社区及当地地区医院开展。
社区调查中有447名孕妇在产后随访至六周;姐妹会调查中有2865名受访者;医院研究涉及7526例分娩。基于前瞻性社区调查、姐妹会方法调查和医院数据分析得出的孕产妇死亡率分别为每10万例活产241例、297例和845例。
医院数据往往高估了这些社区的孕产妇死亡率。姐妹会方法比前瞻性社区研究更容易、更便捷。