摘要
目的 对苏州市 1989～ 2 0 0 0年孕产妇死亡的相关因素和存在的问题进行评估。方法 按全国统一要求 ,填写妇幼卫生报表、孕产妇死亡卡和漏报调查表 ,并经市围产协作专家组评审和分析。结果 苏州市 12年间活产分娩数为6 0 195 5 ,孕产妇死亡 15 5人 ,平均孕产妇死亡率 2 5 .75 / 10万 ,前 6年为 32 .5 4 / 10万 ,后 6年为 15 .2 3/ 10万。产科直接与间接原因致死率之比为 :前 6年 1.4 8∶1;后 6年 0 .89∶1。死因顺位依次为 :产后出血、内外科合并症、羊水栓塞、心脏病、妊高征。后 6年改为 :内外科合并症、羊水栓塞、心脏病、产后出血。结论 规范助产技术的资格认证制度并对其常年监控 ,减少不恰当的干预 ,扩展和更新产科医生知识范围 ,加强孕产妇的系统管理 ,从而降低孕产妇死亡率 ,为近期的重要任务和今后的努力方向。
Objective:To evaluate correlative factors and remaining problems of maternal mortality in Suzhou from 1989 to 2000.Methods: Women and children's health report forms, maternal death cards and fail-to-report survey tables filled in by specific health workers in accordance with the country's unified standard are gathered, appraised and analyzed by Suzhou Perinatal Coopera tion Expert Group. Results: There were 601,955 live birth deliveries with 155 maternal dead in 12 years. The mean maternal mortality was 25.75/100,000, the former six years being 31.55/100,000, the latter six years being 15.23/100,000. The ratio of death by direct and indirect obstetric causes and was1.48∶1 in former six years with the sequential death causes of postpartum hemorrhage,internal and surgical complications, amniotic fluid embolism, heart diseases and pregnancy--induced hypertension syndrome and 0.89∶1 in latter six years with sequential death causes of internal and surgical complications, amniotic fluid embolism,heart diseases and postpartum hemorrhage.Conclusions: The maternal mortality can be reduced through standardization and perennial surveillance of delivery-assitting qualification system,reduction of inappropriate intervention, expansion and renewal of obstetrician's knowledge and improvement of systematic management of maternal women. These are essential tasks and objectives in the near future.
出处
《中国优生与遗传杂志》
2003年第5期95-97,共3页
Chinese Journal of Birth Health & Heredity
关键词
孕产妇死亡
死亡原因
相关因素
监测
Maternal mortality
Death causes
Correlative factors
Surveillance
