Quantifying severe maternal morbidity: a Scottish population study
Quantifying severe maternal morbidity: a Scottish population study
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DOI：
10.1111/j.1471-0528.2004.00101.x
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发表时间：
2004-05-01
影响因子：
5.8
通讯作者：
Hall, M
中科院分区：
文献类型：
--
作者：
Brace, V;Penney, G;Hall, M
目标：为了量化严重的孕产妇发病率在Scotland的发病率，并确定这样做的可行性。设计：前瞻性观察study.Setting：所有22个顾问领导的妇产科单位在苏格兰，2001年10月1日和2002.Population之间：妇女在怀孕期间和puerperionium.Methods：定义为13类严重的孕产妇发病率从发表的工作。在一次全国会议上，招聘了妇产科人员并培训了工作人员。每个月，每个单位都报告了符合商定定义、事件类别和日期的案件。对数据进行了集中整理和分析，以确定事件发生的频率。在同一时期发生在苏格兰的孕产妇死亡人数是从保密调查孕产妇Deaths.Main结果的措施：数量和定义的事件报告率。一个主观的看法，收集国家数据的可行性routinally.Results：严重的发病率报告在196名妇女，在苏格兰的51,165分娩（率3.8每1000分娩）。30%的案件属于一个以上的界定类别。产科大出血占事件的50%。只有三分之一的确诊患者被送进了重症监护室。四个相关的孕产妇死亡happened.Conclusions：严重的孕产妇发病率的类别可以定义，并可能提供一个有用的衡量孕产妇服务的质量，特别是在发达国家，孕产妇死亡率是非常罕见的。建立一个关于产妇发病率和死亡率的国家报告制度似乎是可行的。
Objective: To quantify the incidence of severe maternal morbidity in Scotland and determine the feasibility of doing so.Design: Prospective observational study.Setting: All 22 consultant led maternity units in Scotland, between 1 October 2001 and 30 September 2002.Population: Women during pregnancy and the puerperium.Methods: Definitions for 13 categories of severe maternal morbidity were developed from published work. Recruitment of maternity units, and training of staff, took place at a national meeting. Each month, every unit reported cases meeting the agreed definitions, the category of incident and date. Data were collated centrally and analysed to determine the frequency of incidents. The number of maternal deaths occurring in Scotland over the same period was obtained from the Confidential Enquiry into Maternal Deaths.Main outcome measures: Number and rate of defined events being reported. A subjective view of the feasibility of collecting national data routinely.Results: Severe morbidity was reported in 196 women, out of 51,165 deliveries in Scotland (rate 3.8 per 1000 deliveries). Thirty percent of cases fell into more than one defined category. Major obstetric haemorrhage accounted for 50% of events. Only a third of identified patients were admitted to intensive care units. Four relevant maternal deaths occurred.Conclusions: Categories of severe maternal morbidity can be defined and may provide a useful measure of the quality of maternity services, particularly in developed countries where maternal mortality is very rare. It appears feasible to set up a national reporting system for maternal morbidity, as well as mortality.