- 期刊
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Causes of Maternal Mortality in Taiwan
台灣地區孕產婦死亡原因之調查研究
摘要
本研究目的在於分析造成台灣地區孕產婦死亡之主要原因。研究以1984～1988年之間所有年齡在10～49歲死亡約台灣地區育齡婦女為普查對象，由受過訓練之衛生所護產人員，持死因資料及研究問卷登門訪視死者家屬；研究者過濾每份死因資料及問卷而篩檢出死前曾懷孕或生產之個案，再交由婦產科醫師逐一分析，並重新判斷其死因。研究發現造成台灣地區孕產婦死亡的主要原因之前三順位分別為：產後出血、妊產併發之高血壓及羊水栓塞症，三者合計占所有孕產婦死因之63.5%。本研究結果將有助於瞭解台灣地區孕產婦死因，而其中有許多死因是可以預防的，據此推論台灣地區孕產婦死亡率仍有相當大的下降空間，值得政府、醫界、衛生與民間機構共同努力改善。
並列摘要
In an effort to decrease maternal deaths requires identifying the associated causes of death. The purposes of this study are to identify causes and trends of maternal mortality as well as provide appropriate suggestions to decrease maternal deaths in Taiwan. An interview census of all registered deaths that occurred during 1984-1988 in women of reproductive age was undertaken in Taiwan. Family members were interviewed by trained public health nurses and midwives of local health stations. Pregnancy-related deaths were screened from all collected questionnaires and death certificates by the researchers. The screened pregnancy-related deaths were also reviewed and evaluated by obstetrician-gynecologists; a cause of each death was assigned. Obstetric hemorrhage (hemorrhage), pregnancy-induced hypertension (PIH), and obstetrical pulmonary embolism (embolism) were the three most frequently specified causes of maternal mortality. These three causes accounted for 63.5% of all the maternal deaths in Taiwan over the study period. The study findings highlight that many maternal deaths in Taiwan might be prevented. Thus, the reduction of maternal mortality in Taiwan is needed and attainable.