南非布隆方丹的孕产妇死亡情况——1986 - 1992年
Maternal deaths in Bloemfontein, South Africa--1986-1992.
作者信息
Spies C A, Bam R H, Cronjé H S, Schoon M G, Wiid M, Niemand I
机构信息
Department of Obstetrics and Gynaecology, University of the Orange Free State, Bloemfontein.
出版信息
S Afr Med J. 1995 Aug;85(8):753-5.
OBJECTIVE
Determination of the maternal mortality ratio and the main causes of maternal death.
SETTING
Pelonomi Hospital, a tertiary care and referral hospital in Bloemfontein.
METHODS
Review of prospectively completed structured questionnaires on all maternal deaths from 1986 to 1992.
RESULTS
The maternal mortality ratio at our institution was 171 per 100 000 live births. Haemorrhage (25%), infection (24%) and hypertensive disease (18%) were the most important causes of death. Seventy-one per cent were direct obstetric deaths and 23% indirect; in the remaining 6%, the cause was uncertain. Of all deaths, 35% were considered preventable.
CONCLUSIONS
The maternal mortality ratio has decreased since our previous report for the period 1980-1985, and haemorrhage has replaced infection as the leading cause of death.
目的
确定孕产妇死亡率及孕产妇死亡的主要原因。
地点
佩洛诺米医院，位于布隆方丹的一家三级护理及转诊医院。
方法
回顾1986年至1992年所有孕产妇死亡病例的前瞻性填写的结构化问卷。
结果
我们机构的孕产妇死亡率为每10万例活产中有171例。出血（25%）、感染（24%）和高血压疾病（18%）是最重要的死亡原因。71%为直接产科死亡，23%为间接死亡；其余6%死亡原因不明。在所有死亡病例中，35%被认为是可预防的。
结论
自我们之前关于1980 - 1985年期间的报告以来，孕产妇死亡率有所下降，出血已取代感染成为主要死因。
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