孕产妇死亡评审结果分析及干预措施探讨  

An analysis of audit results of maternal mortality and exploration of interventions

作　　者：金真菊 金正琴 杨梅 何蕾 

机构地区：[1]贵州省疾控中心妇保所,贵州贵阳550004 [2]贵州省黔南州中医院,贵州都匀558000

出　　处：《中国妇幼健康研究》2009年第2期172-174,共3页Chinese Journal of Woman and Child Health Research

基　　金：[基金项目]贵州省卫生厅科学技术基金课题资助项目（gzwk2008-1-043）;贵州省疾病预防控制中心科技基金课题资助项目（2008-08）

摘　　要：目的通过孕产妇死亡评审，了解死亡孕产妇主要死因、孕产妇死亡率变化趋势和变化特征。方法采用回顾性研究的方法，对2008年贵州省65个“降消项目”县177例孕产妇死亡评审资料进行分析。结果贵州项目县孕产妇死亡率2008年为57．79／10万，高出全国2007年近1倍（2007年全国监测数据显示孕产妇死亡率为36．6／10万），前3位死因分别为产科出血、妊娠期高血压疾病和羊水栓塞。结论强化政府行为，严格考核制度、加强围产保健管理、增强县级产科急救能力、建立部门沟通机制、提高孕产妇死亡评审质量是降低孕产妇死亡的重要途径。Objective To investigate leading causes of maternal mortality, changing tends and characteristics of maternal death through audit for maternal mortalities in Guizhou province. Methods The audit data of 177 maternal mortalities in 65 ＂Reducing and Eliminating Projects＂ counties of Guizhou province in 2008 were retrospectively analyzed. Results The maternal mortality rate in the projects counties of Guizhou province in 2008 was 57.79/100 000 , which was nearly two times of the national maternal mortality rate in 2007 （36.6/ 100 000）. The first 3 causes of maternal mortality were obstetric hemorrhage, pregnancy induced hypertension （PIH） and amniotic fluid embolism. Conclusion Strengthening government＇ s actions, strict check system, intensifying management for perinatal health, raising the first-aid ability in obstetrics of county-level hospitals, establishing communication and cooperation mechanisms between related departments and improving quality of audit of maternal mortality are all important measures to reduce maternal mortality rate.

关 键 词：孕产妇死亡 评审 分析 干预措施 

分 类 号：R17[医药卫生—妇幼卫生保健]