Zhou B, Yang W, Qin M
Shanghai Women's Health Institute.
Zhonghua Yi Xue Za Zhi. 1997 Jun;77(6):409-11.
To explore an effective intervention approach to lower the mortality of ectopic pregnancy.
We monitored the mortality of ectopic pregnancy during 1987-1995 in Shanghai and experts' audit, focusing on the causes of death from ectopic pregnancy and combining official administration with intervention approach in medical institutions.
Misdiagnosis and patient's delay to hospital were the causes of death from ectopic pregnancy. There were 523,299 live births in Shanghai from 1987 to 1989, in which 23 cases died from ectopic pregnancy, with a mortality of 4.40/100,000. After implementing the intervention approach, during 1990-1995, 14 cases of the total 625,206 nancies live birth died from ectopic pregnancy, with a mortality of 2.24/100,000, as compared the two, P < 0.05. Accordingly, ectopic pregnancy as the cause of maternal death dropped from the first leading cause to the fourth.
Intensive health care education in masses, medical staffs' awareness to ectopic pregnancy, and intervention, early hospitalization, early diagnosis and early therapy can lower the mortality of ectopic pregnancy.
探索降低异位妊娠死亡率的有效干预方法。
监测1987 - 1995年上海异位妊娠死亡率，并进行专家审核，重点关注异位妊娠死亡原因，将行政管理与医疗机构干预方法相结合。
误诊和患者延迟就医是异位妊娠死亡原因。1987年至1989年上海有523299例活产，其中23例死于异位妊娠，死亡率为4.40/10万。实施干预方法后，1990年至1995年，625206例活产中14例死于异位妊娠，死亡率为2.24/10万，两者比较，P<0.05。因此，异位妊娠作为孕产妇死亡原因从首要原因降至第四位。
加强群众健康教育、提高医务人员对异位妊娠的认识并进行干预，早期住院、早期诊断和早期治疗可降低异位妊娠死亡率。
