Fauveau V, Mamdani M, Steinglass R, Koblinsky M
Center for Population Studies, London School of Hygiene and Tropical Medicine, UK.
Int J Gynaecol Obstet. 1993 Jan;40(1):3-12. doi: 10.1016/0020-7292(93)90765-o.
Maternal tetanus, defined as tetanus occurring during pregnancy or within 6 weeks after any type of pregnancy termination, is one of the most easily preventable causes of maternal mortality. It includes postpartum or puerperal tetanus resulting from septic procedures during delivery, postabortal tetanus resulting from septic abortion and tetanus incidental to pregnancy, resulting from any type of wound during pregnancy. This review of published and unpublished hospital and community studies concludes that between 15,000 and 30,000 cases of maternal tetanus occur each year. Complete coverage of reproductive-aged women by tetanus toxoid is the most cost-effective way to eliminate this often neglected cause of maternal death.
孕产妇破伤风定义为在孕期或任何类型的妊娠终止后6周内发生的破伤风，是孕产妇死亡最易预防的原因之一。它包括分娩时因感染性操作导致的产后或产褥期破伤风、因感染性流产导致的流产后破伤风以及孕期因任何类型伤口导致的妊娠合并破伤风。这篇对已发表和未发表的医院及社区研究的综述得出结论，每年发生15,000至30,000例孕产妇破伤风病例。通过破伤风类毒素为育龄妇女提供全面接种是消除这一常常被忽视的孕产妇死亡原因的最具成本效益的方法。
