江苏省2004～2008年孕产妇死亡原因分析  

Analysis of maternal mortality in Jiangsu,China,2004-2008

作　　者：浦丹华[1] 杨玲[1] 吴洁[1] 刘嘉茵[1] 李菊芳[1] 

机构地区：[1]南京医科大学第一附属医院妇产科,江苏南京210029

出　　处：《西部医学》2015年第5期689-692,共4页Medical Journal of West China

基　　金：江苏省卫生厅妇幼保健重点学科基金课题(FXK201201)

摘　　要：目的 分析2004～2008年间江苏省孕产妇死亡资料,了解孕产妇死亡率、死亡原因及其特征,为有效降低孕产妇死亡提供制定措施依据.方法 采用回顾性分析方法,对2004～2008年江苏省孕产妇死亡病例资料进行分析.结果 2004～2008年江苏省活产总数为3,162,747例,孕产妇死亡总数为443例.孕产妇死亡率从2004年的22.3/1o万逐年降至2008年的9.0/10万,下降趋势明显,差异有统计学意义（P＜0.05）.孕产妇死亡原因中,直接产科因素占69.30％,其中产科出血居首（38.83％）;间接产科因素占28.67％.孕产妇死亡时间多数在产后12小时内,分娩地点以卫生所为主,死亡地点则主要在省市级医院.流行病学分析显示,孕产妇死亡中受教育水平低、贫穷、多产、忽视围产保健等是死亡孕产妇的主要特征.孕产妇死亡中可避免死亡的比例逐年下降,但至2008年,该比例仍超过50％.结论 2004～2008年江苏省孕产妇死亡率逐年显著下降,但围产期保健仍有待进一步加强,以降低可避免死亡的发生率。Objective To assess maternal mortality ratio （MMR）, causes and general characteristics of maternal deaths from 2004 to 2008 in Jiangsu Province, China. Methods Retrospective study method was used to review maternal deaths from 2004 to 2008 in Jiangsu. Valid data were analyzed by means of descriptive methods with frequencies and con- stituent ratio to show characteristics. A χ2 test was used to evaluate trend of preventable deaths. Results There were 3, 162,747 live births during the studying period 2004-2008, and 443 maternal deaths were recorded. MMR declined dramatically from 22.3 per 100 000 live births to 9.0 per 100 000 live births in Jiangsu from 2004 to 2008. Direct obstetric causes accounted for 69.30%, with obstetric hemorrhage （38.83%） ranking first. And indirect causes made up 28.67 %. Over half of the deaths were assessed as preventable, although the proportion was declining significantly （P= 0.02）. Conclusion MMR in Jiangsu dropped parentally from 2004 to 2008. However, status of maternal mortality in Jiangsu implies deficiencies in quality of maternal care, which needs to be further emphasized and improved.

关 键 词：孕产妇死亡率 孕产妇死亡 死亡原因 江苏省 

分 类 号：R714.66[医药卫生—妇产科学]