摘要
目的 全面了解宿州市2003至2010年8年间125例孕产妇死亡原因、死因构成及影响因素,并提出干预措施,降低孕产妇死亡率.方法 收集宿州市2003至2010年8年间孕产妇死亡个案资料共125例,分析死亡原因构成、影响死亡主要因素及评审结果.结果 2003年至2010年间宿州市孕产妇死亡率平均为27.4/10万,2010年在2003年基础上下降56.4%（χ2=6.200,P=0.01）;后4年（2007至2010年）孕产妇死亡率显著低于前4年（2003至2006年）（χ2=19.956,P=0.000）;孕产妇死亡前4位原因为产科出血、羊水栓塞、妊娠期高血压疾病、妊娠合并心脏病;死亡孕产妇中农村人口占93.6%,高龄孕产妇占24.8%,产前检查达到5次的占9.6%,可避免死亡117例占93.6%,不可避免死亡4例占3.2%,无法评审4例占3.2%;孕产妇死亡地点由个体民营诊所,乡镇卫生院转移至县、市级医院.导致孕产妇死亡的内科合并症逐年增加.结论 宿州市孕产妇死亡率近年来呈下降趋势,且低于全国平均水平.为了更好地降低孕产妇死亡率,应提高孕产期保健服务质量,对高危孕产妇实行动态监测管理;强化基层医疗保健机构产科人员知识技能培训,发挥县区级危急重症孕产妇急救中心职能作用.同时,各部门应合作加强对个体民营诊所的监管.
Objective To investigate the death causes, their constituent ratio and the influencing factors of 125 cases of pregnant women in Suzhou city from 2003 to 2010, so as to provide intervention measures and reduce maternal mortality. Methods The data of 125 cases of maternal death from 2003 to 2010 was collected, and the constituent ratio of death causes, major factors of influencing death and evaluation of results were analyzed. Results In the period of 2003 to 2010, the average maternal mortality rate was 27.4/100 000, and the rate in 2010 descended 56.4% based on that in 2003 （ X2 = 6. 200, P = 0.01 ）. The maternal mortality rate of latter 4 years （2007-2010） was significantly lower than that of former 4 years （2003-2006） （X2 = 19. 956, P = 0. 000）. The first 4 causes of death were obstetrical hemorrhage, amniotic fluid embolism, hypertension in pregnancy and pregnancy associated with cardiac disease, respectively. Maternal deaths of rural population accounted for 93.6%, and 24.8% were elder pregnant women. Only 9.6% of pregnant women had prenatal care for 5 times. 117 cases of death were avoidable （93.6%） and 4 cases were unavoidable （3.2%）. Another 4 cases could not be evaluated （3.2%）. The places of death of pregnant women transferred into county or city level hospitals from individual-run medical units and township hospitals. The complications leading to death increased annually. Conclusion The maternal mortality rate in Suzhou city is continuously decreasing in recent years, and it is lower than national average level. Improving the quality of health care services, carrying out dynamic monitoring management on high-risk pregnant women, strengthening the skill training for maternal health care providers in basic-level medical health care organizations, enabling the county-level emergency and maternal rescue centers to play their role and supervising on individual private clinics are the major measures for reducing maternal mortality rate
出处
《中国妇幼健康研究》
2012年第1期16-19,共4页
Chinese Journal of Woman and Child Health Research
关键词
孕产妇死亡率
死亡原因
分析
孕期保健
maternal mortality rate
death cause
analysis
antenatal care
