2009—2018年银川市孕产妇死亡评审情况分析  

Analysis of Maternal Death Assessment in Yinchuan City from 2009 to 2018

作　　者：于静 湘宁 YU Jing;XIANG Ning(Yinchuan Maternal and Child Health Hospital,Yinchuan750001,China)

机构地区：[1]银川市妇幼保健院,银川750001

出　　处：《宁夏医科大学学报》2020年第11期1119-1123,共5页Journal of Ningxia Medical University

摘　　要：目的分析2009—2018年银川市孕产妇死亡评审情况,了解银川市孕产妇死亡率变化趋势、死因构成及其影响因素,为降低本地区孕产妇死亡率提供有针对性的干预措施。方法收集银川市三区两县一市(兴庆区、金凤区、西夏区、永宁县、贺兰县、灵武市)2009—2018年孕产妇死亡病例评审资料和同时期银川市妇幼卫生年报表、孕产妇死亡监测报表,回顾性分析孕产妇死亡相关情况,并对死亡孕产妇的基本特征、主要死因、死亡性质等评审结果进行统计分析。结果2009—2018年银川市平均孕产妇死亡率为16.73/10万。孕产妇死因中直接产科原因占多数,在直接产科死因中羊水栓塞仍是导致银川市孕产妇死亡的首要因素。评审结果影响孕产妇死亡的主要原因中,个人、家庭知识技能因素占20.00%;各级医疗保健机构知识技能因素占25.71%。结论依托国家项目建立有效孕产妇健康管理信息平台,更多关注社会弱势群体,加强产科专业队伍及相关学科人员对高危孕产妇的筛查及救治能力,加强基层保健网络对高危孕产妇的动态评估管理,提高基层产科救治能力并建立危重症孕产妇转诊网络及绿色通道等是降低孕产妇死亡率的有效措施。Objective To analyze the assessment results of maternal mortality in Yinchuan city from 2009 to 2018,understand the changing trend of maternal mortality in Yinchuan City,cause of death composition and influencing factors,and provide targeted intervention measures for reducing maternal mortality in this region.Methods The data of maternal death cases in three districts,two counties and one city of Yinchuan City(Xingqing District,Jinfeng District,Xixia District,Yongning County,Helan County and Lingwu City)from 2009 to 2018,annual report of maternal and child health and maternal death monitoring report of Yinchuan City were collected.The related situation of maternal death was analyzed retrospectively,and the basic characteristics,main causes of death and nature of death were evaluated.The results were statistically analyzed.Results From 2009 to 2018,the average maternal mortality rate in Yinchuan was 16.73/100000,showing a downward trend.Among the direct obstetric causes,amniotic fluid embolism was still the primary cause of maternal death in Yinchuan City.In the main causes of maternal death,personal and family knowledge and skills accounted for 20.00%;knowledge and skills factors of medical and health institutions at all levels accounted for 25.71%.Conclusion Relying on the national project,we should establish an effective maternal health management information platform,pay more attention to social vulnerable groups,strengthen the screening and treatment ability of obstetric professional team and relevant discipline personnel for high-risk pregnant women,strengthen the dynamic evaluation and management of high-risk pregnant women by grass-roots health care network,improve the primary obstetric treatment ability,and establish a referral network and green channel for critical pregnant women effective measures to reduce maternal mortality.

关 键 词：孕产妇死亡率 孕产妇死亡评审 死亡原因 干预措施 

分 类 号：R181.37[医药卫生—流行病学]