모성사망에 관한 임상적 고찰

다국어 초록 (Multilingual Abstract)

A 7-year exprience on maternal death in the Hangang Sacred Heart Hospital from 1972 throgh 1978 was reviewed. Total 8726 live births and 41 maternal deaths were recorded during the period under review. All deaths, regardless of the cause, in pregnant women within 6 weeks of termination of the pregnancy were included in the study. The results are as follow: 1. The maternal mortality rate was 469.9 per 100,000 live births. The annual maternal death rate has decreased gradully except the 2nd year of the opening of the Hangang Sacred Heart Hospital. 2. The leadin cause of maternal death was hemorrhage (31.7%), toxemia (31.7%) and infection (17.1%) in order. 3. The most commoc cause of hemorrhage was atonic bleeding (46.1%) 4. The most common cause of death in toxemia was cerebrovascular accident (46.1%) 5. All causes of death in infection were septic abortion. 6. Among indirect causes, heart disease and hepat it is were two cases repectively. 7. Among nonrelated causes, hydatidiform mole, pneumonia and leukemia were ine case respectively. 8. None of the maternal deaths in this hospital had regular antenatal care. 9. Most of the maternal deaths were considered to be preventable. 10. There were not any one of autopsy examination of all postmortem cases. 11. In reviewing of this study the followings are needed for the minium maternal death: patient education, especially for the danger of criminal abortion and family planning, prenatal care and early indentlflcationof high-risk mother, promotion of the hospital delivery, liberal use of blood transfusion, modernization of hospital facilities, training and aducation of good qualified specialist, autopsy examination of all postmortem cases, qualified consultation with other specialists, continuing postgraduate aducation program for general prectioners and nurses, and establishment of maternal mortality committee.