[Maternal mortality estimation in France, according to a new method].
[Maternal mortality estimation in France, according to a new method].
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DOI：
10.1016/s0368-2315(04)96550-7
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发表时间：
2004-09-01
期刊：
影响因子：
--
通讯作者：
Jougla, E
中科院分区：
文献类型：
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作者：
Bouvier-Colle, M-H;Deneux, C;Jougla, E
目的：十年后，在法国实施孕产妇死亡率监测，我们建立了一个新的估计，目前的孕产妇死亡率（MMR）和重新审视孕产妇死亡数据collection.MATERIAL和METHODS：女性死亡和分娩之间的联系，女性死亡和死亡原因之间。增加了国家产妇死亡率研究委员会对产妇死亡情况进行的秘密调查提供的资料。产妇死亡和产妇死亡率采用世界卫生组织（世卫组织）的定义。该研究涉及1999年发生的死亡事件。结果：官方数据显示，孕产妇死亡人数比我们的调查少20%。根据我们的数据估计，1999年的孕产妇死亡率为每10万活产9例。直接产科原因往往比间接原因记录。出血是产妇死亡的主要产科原因（21%）。与1989-90年的数据相比，低估的孕产妇死亡率和孕产妇死亡率正在改善（从18至9每100000）。结论：这些结果，而平均产妇分娩年龄定期增加，被解释为改善护理的标志。但是，产后流产仍然是产妇死亡的主要原因，而且可避免的死亡率很高，这表明需要进一步取得进展。
OBJECTIVE: Ten years after implementation of maternal mortality monitoring in France, we established a new estimate of the current maternal mortality ratio (MMR) and revisited maternal death data collection.MATERIAL AND METHODS: Linkages were set up between female deaths and childbirths and between female deaths and causes of death. Information provided by confidential inquiries into maternal deaths carried out by the National Committee for maternal mortality study was added. The World Health Organization (WHO) definitions were used for maternal death and maternal mortality ratio. The study concerned deaths occurring in 1999. Results were compared with data from 1989.RESULTS: The official data showed 20% fewer maternal deaths than our inquiry. Estimated from our data, the MMR was 9 per 100000 live births in 1999. Direct obstetric causes were more often recorded than indirect causes. Hemorrhage was the leading obstetric cause of maternal death (21%). In comparison with the 1989-90 data, the underestimation of maternal deaths and maternal mortality ratios are improving (from 18 to 9 per 100000).CONCLUSION: These results, obtained while the mean maternal age at childbirth increased regularly, are interpreted as a sign of improvement in care. But the persistence of post partum hemorrhages as the leading cause of maternal death and the high rate of avoidable deaths, disclose important targets for further progress.