Baskett T F, Sternadel J
Department of Obstetrics and Gynaecology, Dalhousie University, Halifax, Nova Scotia, Canada.
Br J Obstet Gynaecol. 1998 Sep;105(9):981-4. doi: 10.1111/j.1471-0528.1998.tb10261.x.
To determine the level of near-miss maternal mortality and morbidity due to severe obstetrical complications or maternal disease in a tertiary maternity hospital.
Retrospective review.
A free-standing maternity hospital delivering 5500 infants per year.
The information coded in the perinatal database concerning women who had required transfer for critical care to a general hospital was reviewed for the 14 year period 1980 to 1993. The complications necessitating transfer and the specialised consultants and services required were noted.
Over 14 years there were 76,119 women delivered with two maternal deaths (2.6/100,000). Fifty-five women required transfer for critical care (0.7/1000). The main reasons for transfer were hypertensive disease (25%), haemorrhage (22%) and sepsis (15%). Transfer to an intensive care unit was required by 80%, and the remainder were transferred to specialised medical or surgical units. Twenty different specialist groups were consulted. The 55 patients spent 280 days in critical care and 464 days hospital after-care (mean 13 days, range 3-92).
A review of near-miss maternal mortality helps delineate the continuing threats to maternal health and the type of support services most commonly required.
确定一家三级妇产医院中因严重产科并发症或孕产妇疾病导致的孕产妇险些死亡及发病情况。
回顾性研究。
一家每年接生5500名婴儿的独立妇产医院。
对1980年至1993年这14年期间围产期数据库中编码的有关需要转至综合医院接受重症监护的妇女的信息进行回顾。记录了需要转院的并发症以及所需的专科顾问和服务。
在14年期间，共有76119名妇女分娩，其中有2例孕产妇死亡（2.6/100,000）。55名妇女需要转至重症监护病房（0.7/1000）。转院的主要原因是高血压疾病（25%）、出血（22%）和败血症（15%）。80%的患者需要转至重症监护病房，其余患者转至专科医疗或外科病房。咨询了20个不同的专科组。这55名患者在重症监护病房度过了280天，出院后在医院接受了464天的护理（平均13天，范围3 - 92天）。
对孕产妇险些死亡情况的回顾有助于明确对孕产妇健康持续存在的威胁以及最常需要的支持服务类型。
