绵阳市2001～2010年孕产妇死亡分析  

Analysis of maternal mortality in Mianyang City in 2001～2010-year

作　　者：杨丽霞[1] 赵铀[1] 

机构地区：[1]绵阳市妇幼保健院保健部,四川绵阳621000

出　　处：《中国计划生育和妇产科》2011年第4期23-26,共4页Chinese Journal of Family Planning & Gynecotokology

摘　　要：目的分析绵阳市孕产妇死亡的变化趋势及影响因素,探讨降低孕产妇死亡率的有效干预措施,为"新两纲"妇幼卫生目标任务和政策措施的制定提供科学依据。方法收集整理绵阳市2001～2010年常住人口孕产妇死亡资料,进行回顾性分析。结果 10年全市常住人口孕产妇死亡率由2000年的70.89/10万降至2010年的17.89/10万,两者比较差异有统计学意义(χ2=31.6,P<0.05)。孕产妇死亡原因前三位依次是产科出血、妊娠合并症、妊娠期高血压疾病。死亡孕产妇中高龄占27.34%;小学及以下文化程度占36.72%;73.44%居住在农村;66.41%未接受规范的孕期保健服务;评审结果显示73.44%的孕产妇死亡可以避免。结论绵阳市孕产妇死亡率达到《中国妇女发展纲要(2001～2010年)》提出的孕产妇死亡率在2000年的基础上下降1/4的目标要求;大多数孕产妇死亡是可以避免的,提高孕期保健覆盖率、产前检查质量、住院分娩率,提高产科专业人员的综合素质和抢救能力,建立、完善产科转会诊制度和一个孕产妇急救服务的有效转诊系统,将可避免的孕产妇死亡率降到最低水平。Objective To analyze the changing trend and influential factors of maternal mortality in Mianyang City and to approach effective interventions to reduce the maternal mortality rate in order to provide scientific basis for policy measures of the ＂ New Two Programs＂ focusing on the maternal and children＇ s health. Methods The data about the maternal mortality of resident population in Mianyang City from 2001 to 2010 were retrospectively analyzed. Results The city＇s overall maternal mortality rate of the resident population during the last 10 years was significantly decreased. Maternal mortality of 2000 - year with 70. 89/100,000 drop to 2010 - year with 17. 89/100,000 that the difference was significant （χ^2 = 31.6,P 〈 0. 05 ）. The three causes of maternal death were obstetrical hemorrhage, pregnancy complications and hypertensive disorders in pregnancy （HDP）. Among the maternal death, high - risk age accounted for 27.34%, primary and secondary educated accounted for 36. 72% and 73.44% live in rural areas. About 66.41% of them did not receive standardized antenatal care services. Assessment results showed that 73.44% of maternal deaths could be avoided. Conclusion The maternal mortality rate of Mianyang City achieves the objectives and requirements presented in ＂Development of China Women （2001 -2010 ）＂ that the maternal mortality rate declined by 1/4 on the basis of 2000, even though most maternal deaths can be avoided. In order to reduce maternal mortality rate to the lowest level by improving the coverage of prenatal care, prenatal care quality, hospital delivery rate and improving the overall quality of obstetric professionals and rescue capabilities, establishing and perfecting the consultation transfer obstetric system, effective referral system for maternal emergency services.

关 键 词：孕产妇死亡率 死因 影响因素 

分 类 号：R714.66[医药卫生—妇产科学]