江西省新建县“降消”项目实施前后10年孕产妇死亡趋势分析  

Analysis of maternal mortality trends in ten years before and after the execution of "decreasing and eliminating" policy in Xinjian County of Jiangxi Province

作　　者：刘爱莲 刘小红 姜建云 凌玉琴 

机构地区：[1]江西省新建县妇幼保健院妇女保健科,江西新建330100

出　　处：《中国当代医药》2015年第32期160-162,共3页China Modern Medicine

基　　金：江西省卫生厅科技计划项目(20143039)

摘　　要：目的探讨新建县孕产妇死亡的发生、发展及其变化规律,为制订有效的干预措施,减少孕产妇死亡提供科学依据。方法采用回顾性分析方法,对1995~2004年、2005~2014年新建县实施＂降低孕产妇死亡率消除新生儿破伤风＂（以下简称＂降消＂）项目前后各10年共45例死亡孕产妇调查报告进行对比分析。结果 1995~2004年死亡29例,平均死亡率为46.90/10万,前四死亡顺位：产科出血、妊娠高血压综合征（以下简称＂妊高征＂）、心脏病、羊水栓塞。2005~2014年死亡16俐,平均死亡率为20.53/10万,前四死亡顺位：羊水栓塞、产科出血、妊高征、肺栓塞。通过实施＂降消＂项目,产科出血致孕产妇死亡率显著下降,但羊水栓塞上升为第1位死因,死亡地点第1位也由乡县级医院变为省市级医院。结论我县孕产妇死亡率下降进入平台期,死因逐渐呈现多样性、复杂性、疑难性,必须寻找新的突破点,实施多方面的举措。Objective To explore the incidence,development and change rules of maternity death in Xinjian County and to provide scientific evidence for making effective intervening measures to decrease maternal mortality rate. Methods Retrospective analysis was adopted to compare and analyze investigation reports of 45 maternal deaths before（1995-2004） and after（2005-2014） ＂decreasing maternal death rate and eliminating tetanus in neonate＂ program（abbr. ＂decreasing and eliminating＂） was carried out in Xinjian County. Results During 1995-2004,29 maternal deaths occurred with average death rate at 46.90/100 000.Top four death causes were obstetric hemorrhage,pregnancy hypertension,heart attack and amniotic fluid embolism.During 2005-2014,16 maternal deaths occurred with average death rate at 20.53/100 000.Top four death causes were amniotic fluid embolism,obstetric hemorrhage,pregnancy hypertension and pulmonary embolism.Through ＂decreasing and eliminating＂ program,the maternal mortality rate caused by obstetric hemorrhage decreased significantly while amniotic fluid embolism became the top one death cause and where women died mostly was in provincial and mulnicipal hospitals instead of in county-level hospitals. Conclusion The maternity death rate has decreased into plateau,and diversity,complexity and difficulty of death causes have been gradually presented.New break-points need to be found out and various measures need to be taken.

关 键 词：孕产妇死亡率 死亡原因 干预措施 

分 类 号：R173[医药卫生—妇幼卫生保健]