Analysis of 14 Cases of Maternal Mortality and Intervention Measures_West China Medical Journal

Authors：

 WANGQing-rui , ZHANGYa-qing , LIUChang ,  LINWei

Department of Gynecology and Obstetrics, West China Second University Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. Chin;

Corresponding?author：

LINWei, Email: weilinhuaxi@163.com

Keywords：

Maternal mortality; Cause of death; Intervention measures

DOI：

10.7507/1002-0179.20150201

Video：

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Objective To explore the corresponding intervention measures to reduce maternal mortality rate by analyzing the causes and problems of maternal deaths. Methods A retrospective analysis was conducted to analyze all cases of maternal mortality from January 2005 to June 2013 in West China Second University Hospital. Results Among the 14 cases of maternal deaths, the main diseases of the patients were pregnancy complicated with heart disease, hypertensive disorders, obstetric hemorrhage, amniotic fluid embolism and ectopic pregnancy. Four cases got prescriptive prenatal care during pregnancy, accounting for 28.6% (4/14), while 10 cases did not, accounting for 71.4% (10/14). Six patients died in prenatal period which accounted for 42.9% (6/14), while 8 died in postnatal period which accounted for 57.1% (6/14) and 5 died within 24 hours which accounted for 62.5% (5/8). Seven underwent cesarean section and 6 fetuses survived. Two went through trial of labor and no fetus survived. There was no ordered postmortem. Conclusion Intensifying education of prenatal care during pregnancy, improving quality of obstetrical service and diathesis of healthcare professionals, strengthening the supervision of high-risk pregnancy and timely choosing the time and manner of delivery are the main measures to decrease the maternal mortality.

Citation： WANGQing-rui, ZHANGYa-qing, LIUChang, LINWei. Analysis of 14 Cases of Maternal Mortality and Intervention Measures. West China Medical Journal, 2015, 30(4): 704-707. doi: 10.7507/1002-0179.20150201 Copy

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1. 熊慶, 吳康敏. 婦女保健學[M]. 北京:人民衛生出版社, 2007:404.
2. 楊惠娟, 沈汝, 李禾, 等. 北京市1996-2010年孕產婦死亡狀況分析[J]. 中華流行病學雜志, 2011, 32(11):1131-1134.
3. 周遠洋, 朱軍, 王艷萍, 等. 1996-2010年全國孕產婦死亡率變化趨勢[J]. 中華預防醫學雜志, 2011, 45(10):934-939.
4. 衛生部婦幼保健與社區衛生司. 全國婦幼衛生監測暨年報資料匯編(2004年)[R]. 2005:10.
5. 吳方銀, 趙梓伶, 肖兵, 等. 2001~2010年四川省孕產婦死亡變化趨勢分析[J]. 中國婦幼保健, 2011, 26(32):4965-4967.
6. 袁先英, 張燕, 吳方銀, 等. 2012年四川省孕產婦死亡評審結果分析[J]. 中國婦幼保健, 2013, 28(23):3769-3771.
7. 王世馨. 2004年至2011年樂山孕產婦死亡原因分析[J]. 大眾健康, 2012, 10:402.
8. 樂杰. 婦產科學[M]. 7版. 北京:人民衛生出版社, 2008:139.
9. 曹澤毅. 婦產科學[M]. 北京:人民衛生出版社, 2008:159-160.
10. 歷梅, 曾傳霞. 孕產婦死亡的高危社會性因素研究分析[J]. 中國社會醫學雜志, 2012, 29(5):336-337.
11. 中華醫學會婦產科學分會產科組. 孕前和孕期保健指南(第1版)[J]. 中華婦產科雜志, 2011, 46(2):150-153.
12. 胡萍, 楊玉坤, 彭永靜, 等. 廣州市黃埔區2153對夫婦孕前檢查結果分析[J]. 中國初級衛生保健, 2012, 26(5):64-66.
13. Van Den Boogaard E, Vissenberg R, Land JA, et al. Significance of (sub)clinical thyroid dysfunction and thyroid autoimmunity before conception and in early pregnancy:a systematic review[J]. Hum Reprod Update, 2011, 17(5):605-619.
14. 高玲, 楊紅娟, 倪懿, 等. 365例女性孕前檢查結果分析[J]. 中國婦幼健康研究, 2010, 21(4):484-486.
15. UNICEF. Programming for safe motherhood:guidelines for maternal and neonatal survival[J]. New York:UNICEF, 1999:8-18.
16. Chang J, Elam-Evans LD, Berg CJ, et al. Causes of maternal mortality surveillance-United states, 1991-1999[J]. MMWR, 2003, 52(2):1-8.
17. 梁娟, 朱軍, 王艷萍, 等. 中國1996~2000年孕產婦死亡監測的流行病學特征分析[J]. 四川大學學報:醫學版, 2007, 38(1):138-141.
18. World Health Organization. Pregnancy, childbirth, postpartum and newborn care:a guide for essential practice[M]. 2nd ed. Geneva:WHO, 2006:44-63.
19. 鄭海霞. 妊娠合并心臟病臨床分析[J]. 中國社區醫師:醫學專業, 2012, 14(15):55-56.

West China Medical Journal

Analysis of 14 Cases of Maternal Mortality and Intervention Measures

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