怀化市2009-2014年孕产妇死亡影响因素分析  

Influence factor analysis of maternal mortality in Huaihua from 2009 to 2014

作　　者：黄志[1] 杨文革[1] 徐超[1] 

机构地区：[1]湖南省怀化市妇幼保健院,418000

出　　处：《中国妇幼卫生杂志》2016年第3期32-35,共4页Chinese Journal of Women and Children Health

摘　　要：目的研究分析怀化市2009-2014年孕产妇死亡情况,探讨影响孕产妇死亡的主要影响因素,提出降低孕产妇死亡率的有效措施。方法采用回顾性调查方式,对怀化市2009-2014年孕产妇死亡的所有个案和评审资料进行分析。结果12009-2014年怀化市孕产妇平均死亡率24.64/10万。2010年最高(34.45/10万),2014年最低(17.99/10万);2孕产妇的死亡与经济收入低、文化水平低、产检不规范、高龄、农村产妇有关,产后出血是首要死亡原因,占20.65%;3高龄、瘢痕子宫、妊娠期高血压疾病是死亡孕产妇产前高危因素;4评审结果认为,67.39%的孕产妇死亡是可以避免的。结论怀化市孕产妇死亡率还需进一步降低,建议加大农村育龄妇女宣教力度和医务人员技能培训,提高孕产期保健服务质量及医院产科质量建设。Objective To analyze the maternal mortality in Huaihua,discuss the main influence factors and make some suggestions of controlling maternal mortality. Method All the individual cases and evaluation data of maternal death from2009 to 2014 in Huaihua were analyzed retrospectively. Result ①The average rate of maternal mortality was 24. 64 /100000 from 2009 to 2014,the rate in 2010 was the highest（ 34. 45 /100000） and the lowest in 2014（ 17. 99 /100000）. ② Lower economic income,lower educational level,prenatal examination lacking of standardization,older age,maternal from rural were related to maternal death,and postpartum hemorrhage was the main cause of death. ③The older age,uterine scar,pregnancy hypertension were the main risk factors for pregnant women. ④ Evaluation result showed 67. 39% of the maternal mortality was avoidable. Conclusion Measures should be adopted to reduce maternal mortality in Huaihua,includes strengthening the training of medical personnel and health education,improving the quality of health care in the pregnant women and obstetrics quality construction.

关 键 词：孕产妇死亡率 影响因素 死亡评审 

分 类 号：R173[医药卫生—妇幼卫生保健]