Maternal mortality in Korea University Hospital was clincally analyzed for 10 years pe riod, 1966-1978.
The results were as follows.
1. During this period there were 8, 809 live births and 39 maternal deaths including 24 cases which were transfered from outside. Maternal mortalityrate was 170.3 per 100, 000, live births.
2. Of all deaths, 84.6% were direct obstetric causes, 12.8% were indirect obstetric causes and 2.65vo were non-related. .
3. The major 3 leading causes of maternal deaths were toxemia (28.2%) , infection (28.2%) , and hemorrhage (20.5%).
4. The leading clinical causes of maternal deaths in toxemia were cerebral hemorrhage,. cardio-pulmonary insufficiency, acute renal failure, and cardiac failure in the frequency of incidence.
5. The most common cause of death in infection was septic abortion.
6. The leading clinical causes of death in hemorrhage were ruptured ectopic pregnancy,. postpartum uterine atony, and ruptured uterus.
7. The most common cause of indirect obstetric death was liver cirrhosis.
8. The majority of maternal deaths (82,7%) did not have the prenatal care.
9. The age and parity distribution were made on each causes of death: Except hemorrhage cases, there were higher incidence in the younger and lower parity group.
10. Most of the obstetric deaths (89.7%) seemed to be preventable if more emphasis would be given to the following: 1) paiient education. 2) regular antenatal care. 3) early identification. 4) regular services in training of both general practitioners and laboratory technicians 5) improvement of transfering system. 6) increasing hospital facilities.. 7) promotion of hospital delivery. 8) more effective contraceptive services and 9y voluntary estabilishment of maternal mortality committee program.
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