1992～2010年云南省孕产妇死亡变化趋势及影响因素  

Analysis of variation trend and relevant factors of the mortality rate of pregnant women and death cause in Yunnan province from 1992 to 2010

作　　者：俞跃萍[1] 朱亚屏[1] 杨海霞[1] 万英[2] 周红[3] 刘锦桃[3] 

机构地区：[1]云南省妇幼保健院保健技术指导科,云南昆明650051 [2]云南省妇幼保健院信息中心 [3]云南省妇幼保健院

出　　处：《中国妇幼保健》2013年第16期2504-2508,共5页Maternal and Child Health Care of China

摘　　要：目的:了解云南省孕产妇死亡原因及制约死亡率下降的影响因素,为政府制订干预措施提供依据。方法:通过常规报表及监测资料对云南省1992～2010年的孕产妇死亡相关资料进行分析。结果:1992～2010年的19年间云南省孕产妇死亡率有明显下降,由1995年的149.6/10万下降至2010年的37.3/10万,下降75.1%;但存在较大的地区差异,农村约为城市的6.6倍,内地县市和边境县市分别是城市的6.1倍和9.8倍,内地县市和边境县市死亡率明显较高,且下降速度较慢;死因顺位依次为:产科出血、合并内科疾病、妊娠期高血压疾病及产褥感染;产后出血是云南省孕产妇死亡的主要原因,占产科出血的77.3%;孕产期保健服务利用率偏低及县乡两级产科人员知识技能不足是孕产妇死亡的主要影响因素。结论:加大县乡产科能力建设力度,提高产科服务质量及完善流动孕产妇医疗保障体系,确保流动孕产妇异地享受基本公共卫生服务和住院分娩补助等惠民政策,妥善解决边境地区跨国婚姻的孕产妇保健等是进一步降低云南省孕产妇死亡率的重要保证。Objective： To understand the cause of death and its affecting factors of mortality rate among the pregnant women in Yunnan province, and provide evidence for government policy and intervention measures making. Methods： Related data in convention reports and monitoring data for the maternal mortality in Yunnan province from 1992 to 2010 were analyzed by SPSS 15 software. Results： Maternal mortality ratio in Yunnan province revealed a dramatic decline in 19 years from 1992 to 2010, from 149. 55 per 100 thousand in 1995 declined to 37. 27 per 100 thousand in 2010 in the 16 -year period, with a reduction rate of 75.08%. However, there was a great regional difference, the maternal mortality ratio in rural areas was about 6. 6 times that in urban areas, and that in inland counties and border counties was 6. 1 times and 9. 8 times than which in urban areas. The maternal mortality in inland counties and border counties was significant high, and the speed of decline was slow. The sequence of death causes was obstetric hemorrhage, combined medical disease, pregnancy induced hypertension and puerperal infection. The obstetric hemorrhage was the first, had a range from 43.81% to 68. 10%, and the speed of de- cline was slow. Post - partum hemorrhage was a principal cause of maternal deaths, accounting for 77.30% of the obstetric hemorrhage. Low quality of health services during pregnancy and obstetric staff of county and township lack of professional knowledge and skill were the main factors influencing the maternal mortality. Conclusion： Improvement of skills of obstetrics in the counties and townships, the quality of ob- stetrical service and the medicare security system for transient pregnant women are needed to ensure the transient pregnant women receive the basic public health care service and the allowance for hospitalized delivery between the different sites. Health care and service of pregnancy and parturient in a mix marriage who lives in a border district should be dealt with appropriately, which is the magn

关 键 词：孕产妇 死因构成 死亡率 影响因素 

分 类 号：R715.3[医药卫生—妇产科学]