Serov V N, Aref'eva I S
Akush Ginekol (Mosk). 1993(4):15-8.
Analysis of 542 lethal cases at pregnancy terms 28 weeks and more, of parturients and puerperae in Russia over 1987-1991 has shown that obstetrical bleedings were responsible for 42.2% of deaths, being the most frequent causes of lethal outcomes. Analysis of records documenting 283 lethal cases has shown a high incidence of somatic (90.9%) and obstetrical diseases (95.5%). Assessment of medica care quality has shown inadequate care of pregnant women and parturients and inadequate emergency care. Prevention of massive blood loss should involve hemostasis studies in pregnant women and parturients and its correction; if a bleeding occurs, comprehensive intensive care and surgical interventions are indicated.
对1987 - 1991年俄罗斯28周及以上孕期的542例孕产妇死亡病例进行分析后发现，产科出血导致了42.2%的死亡，是致死的最常见原因。对283例死亡病例记录的分析表明，躯体疾病（90.9%）和产科疾病（95.5%）的发病率很高。对医疗护理质量的评估显示，对孕妇和产妇的护理不足以及急救护理不足。预防大量失血应包括对孕妇和产妇进行止血研究并加以纠正；一旦发生出血，应进行全面的重症监护和手术干预。
