Maternal Mortality and Referral Status in Chonburi Hospital: 16 Years (1996-2011) Experience

Thai Journal of Obstetrics and Gynaecology

TeerapatChullapram¹ 

[1] Department of Obstetrics and Gynecology, Chonburi Hospital, Chonburi, Thailand;

关键词: maternal mortality ratio;    MMR;    refer;    Chonburi Hospital;   

DOI  :  

来源: DOAJ

【 摘 要 】

Objective:ToassessthecauseofmaternaldeathandmaternalmortalityratioinChonburiHospitalMaterials and Methods:All maternal deaths in Chonburi Hospital from January 1996 to December 2011 were included.Data from the department and the hospital medical records was review.Results:Total maternal mortality ratio (tMMR, total = referred cases plus Chonburi Hospital own cases) and Chonburi Hospital maternal mortality ratio (CHMMR, Chonburi Hospital own cases)was52.4and13.4per100,000livebirths,respectively.ThetMMRrateseemedunchanged from tMMR during 1982-1991. However, the figure for all 47 deaths was exaggerated because there were added referred maternal deaths without added corresponding live births. Mostofthematernaldeaths(74%)werereferredcases.Mostdeaths(63.8%)weredirectmaternal deaths.Five most common causes of deaths were postpartum hemorrhage (PPH), amnioticfluidembolism(AFE),heartdiseases,pregnancy-inducedhypertension(PIH)andabortion/ectopicpregnancy-related.ForChonburiHospitalcases,mostcommoncausesofdeath were AFE, heart diseases and PIH.Most of the referred cases, 74.3%, arrived at Chonburi Hospital in seriously ill condition.Eight cases (22.9%) arrived hopelessly (post cardiac arrest or cardiac arrest on admission, brain death or moribund condition).Many deaths were obviously or possibly preventable especially in category of PPH and abortion/ectopic pregnancy-related deaths. Conclusion:Our own CHMMR was 13.4 per 100,000 live births and comparable with that of the developed country.Our tMMR, though a bit exaggerated, was the same as other developing country MMR. There is the opportunity for improvement as many deaths were preventable.

【 授权许可】

Unknown