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KMID : 0892719990030020177
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Journal of the Korean Society of Maternal and Child Health
1999 Volume.3 No. 2 p.177 ~ p.185
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National Survey on Causes of Maternal Death in 1995-96
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Park Jung-Han
Seo Kyung
Park Moon-Il
Park Joong-Shin
Han Young-Ja
Doh Se-Rok
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Abstract
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This study was designed to identify the difference between the body image and
A national survey was conducted to define the causes of maternal death from January to December 1997. The study subjects were all maternal deaths occurred in two years from January 1, 1995 to December 31, 1996. Sources of data were the medical fee claims in relation to the care for pregnancy and delivery and the claims for funeral of the woman in reproductive age(15∼49 years) to medical insurance corporation, birth and death registration of the national Statistical Office, the resident registration, and medical records of women in the reproductive age who died in above mentioned period at one of 1,169 medical/health facilities. Data from these four sources were linked together to create one data file from which maternal deaths were sorted out. Causes of death were classification of Diseases.
Out of 308 female deaths during pregnancy or puerperum occurred in 2-year period, 20 deaths were excluded whose causes of death were car accident, drowning, or poisoning. Among 288 maternal deaths, 233(80.9%)deaths were due to direct causes and the remaining 55 deaths were due to indirect causes such as cancer, heart disease, and renal disease. Major direct causes of death were hemorrhage(25.7%), hypertension(16.3%), embolism(15.6%), abortion including ectopic pregnancy(6.2%), and infection(1.4%). Other causes of death were dystocia(2.1%), hepatic failure, and complications of anesthesia, cardiovascular system, etc. Causes of the remaining 23 deaths could not be defined. there was no difference in the distribution of causes of death between 1995 and 1996.
Remarkable findings of this survey were that infection, which has know as one of the three major causes of maternal death, accounted for only 1.4% of all deaths and embolism accounted for 15.6% These could be due to the reduction of maternal death from hemorrhage, hypertension, and infection on account of the improved medical technology while embolism is not easy yet to pervent and cure and thus the propotion of embolism has been increased. However, the possibility of errors in diagnosing the causes of death, recording and classification of causes could not be ruled out.
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KEYWORD
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national survey, cause, maternal death
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