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. 熊庆, 吴康敏. 妇女保健学[M]. 北京:人民卫生出版社, 2007:404.
2. 杨惠娟, 沈汝, 李禾, 等. 北京市1996-2010年孕产妇死亡状况分析[J]. 中华流行病学杂志, 2011, 32(11):1131-1134.
3. 周远洋, 朱军, 王艳萍, 等. 1996-2010年全国孕产妇死亡率变化趋势[J]. 中华预防医学杂志, 2011, 45(10):934-939.
4. 卫生部妇幼保健与社区卫生司. 全国妇幼卫生监测暨年报资料汇编(2004年)[R]. 2005:10.
5. 吴方银, 赵梓伶, 肖兵, 等. 2001~2010年四川省孕产妇死亡变化趋势分析[J]. 中国妇幼保健, 2011, 26(32):4965-4967.
6. 袁先英, 张燕, 吴方银, 等. 2012年四川省孕产妇死亡评审结果分析[J]. 中国妇幼保健, 2013, 28(23):3769-3771.
7. 王世馨. 2004年至2011年乐山孕产妇死亡原因分析[J]. 大众健康, 2012, 10:402.
8. 乐杰. 妇产科学[M]. 7版. 北京:人民卫生出版社, 2008:139.
9. 曹泽毅. 妇产科学[M]. 北京:人民卫生出版社, 2008:159-160.
10. 历梅, 曾传霞. 孕产妇死亡的高危社会性因素研究分析[J]. 中国社会医学杂志, 2012, 29(5):336-337.
11. 中华医学会妇产科学分会产科组. 孕前和孕期保健指南(第1版)[J]. 中华妇产科杂志, 2011, 46(2):150-153.
12. 胡萍, 杨玉坤, 彭永静, 等. 广州市黄埔区2153对夫妇孕前检查结果分析[J]. 中国初级卫生保健, 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, 杨红娟, 倪懿, 等. 365例女性孕前检查结果分析[J]. 中国妇幼健康研究, 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, 朱军, 王艳萍, 等. 中国1996~2000年孕产妇死亡监测的流行病学特征分析[J]. 四川大学学报:医学版, 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. 郑海霞. 妊娠合并心脏病临床分析[J]. 中国社区医师:医学专业, 2012, 14(15):55-56.

West China Medical Journal

Analysis of 14 Cases of Maternal Mortality and Intervention Measures

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