Etuk S J, Asuquo E E
Department of Obstetrics and Gynaecology, University of Calabar, Nigeria.
West Afr J Med. 1997 Jul-Sep;16(3):165-9.
During the 6-year period (January 1987 to December 1992) a maternal mortality rate of 16.2 per 1,000 deliveries and a post-partum haemorrhage case fatality rate of 2.2 percent were recorded at the University of Calabar Teaching Hospital. Sixteen of the 62 unbooked patients with primary post-partum haemorrhage died giving a case fatality rate of 25.8% as compared with a case fatality rate of 0.8% for booked patients with primary post-partum haemorrhage. A case fatality of 5.4% from induced labour compared with 1.8% from spontaneous labour was recorded, while assisted vaginal delivery had a case fatality rate of 4.7%. Uterine atony, retained placenta and coagulation defect in that order were the main causes of maternal death from primary post-partum haemorrhage. The case fatality rate amongst primigravidas now seems to be the same as that of grandmultipararas traditionally classified as high risk. Lack of adequate supervision of junior residents formed the major defect in the management of patients in this study.
在1987年1月至1992年12月这6年期间，卡拉巴尔大学教学医院记录的孕产妇死亡率为每1000例分娩16.2例，产后出血病死率为2.2%。62例未预约的原发性产后出血患者中有16例死亡，病死率为25.8%，而预约的原发性产后出血患者的病死率为0.8%。引产的病死率为5.4%，自然分娩的病死率为1.8%，而阴道助产的病死率为4.7%。子宫收缩乏力、胎盘残留和凝血功能障碍依次是原发性产后出血导致孕产妇死亡的主要原因。初产妇的病死率现在似乎与传统上被归类为高危的经产妇相同。本研究中，对低年资住院医师缺乏充分监督构成了患者管理的主要缺陷。
