Maternal mortality and serious maternal morbidity in Jehovah's witnesses in the Netherlands
Maternal mortality and serious maternal morbidity in Jehovah's witnesses in the Netherlands
复制标题
DOI：
10.1111/j.1471-0528.2009.02191.x
复制
发表时间：
2009-07-01
影响因子：
5.8
通讯作者：
Van Roosmalen, J.
中科院分区：
文献类型：
--
作者：
Van Wolfswinkel, M. E.;Zwart, J. J.;Van Roosmalen, J.
确定荷兰耶和华见证会因产科大出血而导致产妇死亡和严重产妇发病的风险。1983年至2006年期间荷兰所有孕产妇死亡病例和1990年至2006年期间荷兰所有孕产妇严重发病病例。2004年和2006年，使用两个不同时期的两个不同全国性调查对案例说明进行研究。我们发现，耶和华见证人每1000人中有14人因产科出血而患严重孕产妇疾病的风险，而总怀孕人口的风险为每1000人中有4.5人。产妇因产科大出血死亡的风险增加130倍，产妇因产科大出血严重发病的风险增加3.1倍，与一般荷兰人相比。
To determine the risk of maternal mortality and serious maternal morbidity because of major obstetric haemorrhage in Jehovah's witnesses in the Netherlands.A retrospective study of case notes.All tertiary care centres, general teaching hospitals and other general hospitals in the Netherlands.All cases of maternal mortality in the Netherlands between 1983 and 2006 and all cases of serious maternal morbidity in the Netherlands between 2004 and 2006.Study of case notes using two different nationwide enquiries over two different time periods.Maternal mortality ratio (MMR) and risk of serious maternal mortality.The MMR for Jehovah's witnesses was 68 per 100 000 live births. We found a risk of 14 per 1000 for Jehovah's witnesses to experience serious maternal morbidity because of obstetric haemorrhage while the risk for the total pregnant population was 4.5 per 1000.Women who are Jehovah's witnesses are at a six times increased risk for maternal death, at a 130 times increased risk for maternal death because of major obstetric haemorrhage and at a 3.1 times increased risk for serious maternal morbidity because of obstetric haemorrhage, compared to the general Dutch population.