한국 모성사망에 관한 연구 ( 1890-1988년 ) = Maternal Mortality in Korea ( 1980-1988 )

다국어 초록 (Multilingual Abstract)

Studying maternal mortality is important in evaluating the quality of obstetrics services, training clinicians who care for pregnant women and improving the safety of child bearing. Clinical analysis on maternal mortality was perfromed on the 209 maternal deaths among 400.333 total live births that had been encounterd during the period of 9 years(1980-1988) at 29 hospitals in Korea. The results are as follos; 1. The maternal mortality rate from 1980 to 1988 was 52.5 per 100,000 live births and its rate was reduced gradually compared with tat from 1974 to 1980. 2. Among cause specific maternal mortality rate, maternal mortality rate of direct cause, indirect cause, non-related cause was 37.6, 7.3 and 0.6 respectively. 3. The direct causes of maternal mortality included hypertensive disorders(42.3%) hemorrhage(42.2%) and infection(15.6%) in order. The direct cause distribution pattern of maternal mortality from 1980 to 1988 showed that the maternal mortality from hypertensive disorder and infection decreased gradually year by but that from hemorrhage had no change. 4. The direct cause of maternal mortality included cardiac disease (52.0%), pulmonary disease(24.0%) and vascular disease(12.0%) in order. The indirect cause distribution of maternal mortality from 1980 to 1988 showed no change year by year. 5. The maternal mortality rate was lowest at the maternal age of 25-29 and hightes at that of 35 and the older she was, the higher the maternal mortality rate was. 6. The maternal mortality rate was peak during the less than 42 days after delivery and the higher parity she had, the higher the maternal mortality rate was. 7. Among tatal 163 cases of maternal death, 62 cases(38.3%) were preventable if adjustable management should have been applied. In order to prevent avoidable maternal deaths based on this study, every possble efforts should be emphasized. Particularly, information and education of the patients, high quality of natenatal care, early indentification of high risk patients, and improvement of hospital medical facilities are very important and imperative to decrease maternal mortality rate.