توزیع فراوانی علل مرگ زنان باردار بر اساس یافته‌های اتوپسی در پزشکی قانونی استان اصفهان در سال‌های 99-1391

نوع مقاله : مقاله های پژوهشی

نویسندگان

1 دانشجوی دکترای اپیدمیولوژی، گروه آمار، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

2 کارشناس، گروه علوم، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

3 دکترا، مرکز تحقیقات پزشکی قانونی، سازمان پزشکی قانونی، تهران، ایران

4 دکترا، گروه پزشکی اجتماعی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

چکیده

مقاله پژوهشی




مقدمه: مرگ و میر زنان باردار، یکی از نگرانی‌های اصلی مسؤولین حوزه‌ی سلامت می‌باشد. شناختن علل آن و تلاش برای کاهش میزان آن همواره از اولویت‌های حوزه‌ی سلامت است. در بسیاری از موارد، علت قطعی فوت زنان باردار، پس از اتوپسی در پزشکی قانونی مشخص می‌شود. هدف از پژوهش حاضر، بررسی اپیدمیولوژی علل مرگ زنان باردار بر اساس یافته‌های اتوپسی پزشکی قانونی استان اصفهان در سال‌های 1391 تا 1399 بود.
روش‌ها: در این مطالعه‌ی مقطعی- تحلیلی گذشته‌نگر، پرونده‌ی 37 زن باردار که در طی سال‌های 1391 تا 1399 به مرکز پزشکی قانونی اصفهان ارجاع شده‌اند، مورد بررسی قرار گرفت و علل مرگ و ویژگی‌های دموگرافیک و بالینی آن‌ها استخراج گردید. داده‌های جمع‌آوری شده با استفاده از آمار توصیفی و آزمون‌های آماری Chi-square و Fishers exact test مورد تجزیه و تحلیل قرار گرفت.
یافته‌ها: میانگین سنی مادران فوت شده، 6/2 ± 32 سال بود. فراوانی مرگ مستقیم بارداری، 17 مورد (46 درصد)، مرگ غیرمستقیم، 18 مورد (49 درصد) و مرگ تصادفی، 2 مورد (5 درصد) بود. در بین مرگ‌های مستقیم بارداری و زایمان، خون‌ریزی با 9 مورد (24 درصد) و در بین مرگ‌های غیرمستقیم، اختلال انعقاد خون با
6 مورد (16 درصد)، رتبه‌ی نخست را داشتند. بیشتر مادران فوت شده دارای بیماری زمینه‌ای و زایمان آن‌ها به صورت سزارین، انجام شده بود‌.
نتیجه‌گیری: بیشترین علت مرگ‌های غیرطبیعی زنان باردار در مرگ‌های غیرمستقیم به علت اختلال انعقاد خون و بیشترین علت مرگ‌های مستقیم به علت خون‌ریزی بود.

کلیدواژه‌ها


عنوان مقاله [English]

Frequency Distribution of Causes of Death in Pregnant Women Based on Autopsy Findings in Forensic Medicine in Isfahan Province in 2012-2020

نویسندگان [English]

  • Mahboubeh Hojati 1
  • Sara Karimi 2
  • Omid Iravani 3
  • Ali Soleymanpour 3
  • Jalal Karimi 4
1 PhD Student, Department of Statistic, Isfahan University of Medical Sciences, Isfahan, Iran
2 Bachelor, Department of Science, Isfahan University of Medical Sciences, Isfahan, Iran
3 PhD, Forensic Medicine Research Center, Forensic Medicine Organization, Tehran, Iran
4 PhD, Department of Social Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
چکیده [English]

Background: Mortality of pregnant women is one of the main concerns in the society. Knowing the causes and trying to reduce its prevalence has always been a health priority. The definite cause of death is often determined by autopsy in legal medicine. The aim of present study is an epidemiologic survey on the causes of death of pregnant women based on the autopsy findings in Isfahan province in 2012-2020.
Methods: In this cross-sectional survey, 37 cases of death of pregnant women, referred to Isfahan legal Medicine Center during 2012-2020 were studied. Data about the causes of death and their demographic and clinical characteristics were collected. The gathered data were analyzed using Chi-square and Fishers exact tests.
Findings: The frequency of death directly from pregnancy and childbirth was 17(46%), indirect causes of death was 18(49%) and accidental death was 2(5%). The mean age of deceased mothers was 32 ± 6.2 years. Among direct causes of deaths from pregnancy and childbirth, bleeding was the most common 9(24%) and among the indirect causes of deaths at pregnancy and childbirth, Coagulopathy was in the first place with 6(16%). Most recorded number of death of pregnant mothers in 2020 was 15.16 deaths per 100,000 births, the most common cause of which was due to indirect causes. Most mothers had an underlying disease and had also undergone caesarean delivery.
Conclusion: The most frequent indirect cause of deaths in pregnant women was due to coagulopathy. Also, the most common direct cause of pregnant women death was due to vaginal bleeding.

کلیدواژه‌ها [English]

  • Maternal death
  • Autopsy
  • Forensic medicine
  • Blood Coagulation Disorders
  • Uterine Hemorrhage
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