重庆市2000～2008年产科出血致孕产妇死亡原因分析  

ANALYSIS ON THE MATERNAL MORTALITY CAUSED BY OBSTETRIC HEMORRHAGE IN CHONGQING FROM 2000 TO 2008

作　　者：王岚[1] 周晓军[1] 沈奕[1] 肖年[1] 罗茜[1] 何春燕[1] 王正琳[1] 

机构地区：[1]重庆市妇幼保健院,重庆400013

出　　处：《现代预防医学》2011年第22期4604-4605,4608,共3页Modern Preventive Medicine

摘　　要：[目的]分析重庆市产科出血导致孕产妇死亡的原因及相关因素,提出干预措施,提高围产期保健质量,降低孕产妇死亡率。[方法]重庆市41个县(市)、区,按国家统一要求,填报孕产妇死亡报告卡,逐级上报重庆市妇幼保健院。分析2000～2008年产科出血致孕产妇死亡原因。[结果]重庆市因产科出血致孕产妇死亡的比例高于全国平均水平。2000～2008年重庆市死亡孕产妇共1654例。其中因产科出血死亡901例,占死亡总数的54.47%。产妇死亡与文化程度、地城分布及产前接受保健服务程度等因素有关。[结论]产科出血是孕产妇死亡的重要原因之一。居住农村、非住院分娩、文化程度低、经济困难、个人家庭保健意识缺乏及医疗保健系统的处理能力的不足是产科出血死亡的重要因素。加强健康教育,提高住院分娩率和接产人员对产后出血的防范意识,加强助产人员产科出血的急救知识技能的学习和培训是降低产科出血死亡干预的重点。[Objective]To analyze the cause of death and related factors of obstetric hemorrhage,and discuss appropriate ways to reduce the incidence of obstetric hemorrhage.[Methods]The maternal deathes in 41 counties and cities of Chongqing were reported to Chongqing Health Center for Women and Children step by step according to the national requirement.We analyzed the cause of death and related factors of maternal death from obstetric hemorrhage on the basis of the Act l2 forms.[Results]The maternal mortality ratio due to obstetric hemorrhage in Chongqing was higher than the national average.A total of 1654 maternal deaths were happened in Chongqing from 2000 to 2008.A total of 901 cases died due to obstetric hemorrhage,accounted for 54.47%.The maternal death was related to such factors as education,economic income,geographical distribution and prenatal care,etc.[Conclusion]Obstetric hemorrhage was the main reason for maternal death.Living in rural area,non-hospitalized delivery,low education level,low economic income,lack of family health care awareness and incapacity for health care system are the obstetric hemorrhage.It is essential to consolidate the construction of obstetric departments at different levels,implement systemically health maintenance,increase childbirth ratio in hospital,strengthen health propaganda and provide financial assistance to the poor maternal.

关 键 词：产科出血 孕产妇死亡 相关因素 

分 类 号：R714.461[医药卫生—妇产科学]