辽宁省2014~2019年孕产妇死亡监控分析  

Analysis of maternal mortality monitoring in Liaoning Province from 2014 to 2019

作　　者：宋贵玉[1] 于莉[2] 杨宏宏[2] 田宏[2] 黄岭[1] 李媛媛[1] 侯悦 王丹[1] 那全[1] 乔宠[1] SONG Guiyu;YU Li;YANG Honghong;TIAN Hong;HUANG Ling;LI Yuanyuan;HOU Yue;WANG Dan;NA Quan;QIAO Chong(Department of Gynecology and Obstetrics,Shengjing Hospital of China Medical University,Shenyang Liaoning 110004,P.R.China;Department of Basic Guidance of Women's Health,Liaoning Maternal and Child Health Care Hospital,Shenyang Liaoning 110005,P.R.China)

机构地区：[1]中国医科大学附属盛京医院妇产科,辽宁沈阳110004 [2]辽宁省妇幼保健院妇女保健基层指导科,辽宁沈阳110005

出　　处：《中国计划生育和妇产科》2021年第3期82-84,共3页Chinese Journal of Family Planning & Gynecotokology

基　　金：国家重点研发计划资助(项目编号:2016YFC1000404);国家自然基金面上项目(项目编号:81771610,81370735);国家自然基金青年基金(项目编号:81300492,81601289);盛京自由研究者基金(201706);辽宁省特聘教授(2017)。

摘　　要：目的分析辽宁省2014~2019年孕产妇死亡情况及相关因素,为降低孕产妇死亡率及政府制定政策提供参考。方法利用妇幼保健三级网络,收集2014~2019年辽宁省死亡孕产妇资料并分析死因及主要影响因素。结果辽宁省2014~2019年孕产妇死亡率明显低于全国平均值,波动在9.2/10万~14.9/10万。2014年、2015年辽宁省孕产妇死亡因素第一顺位为羊水栓塞,2016~2019年羊水栓塞死因顺位下降,产科出血、高血压、心脏病成为死因第一顺位。导致孕产妇死亡的影响因素中,医疗保健系统仍占较大比重,主要存在问题仍以知识技能不足为主,县区级医疗保健系统知识技能不足问题尤为突出。结论2014~2019年辽宁省孕产妇死亡率进入平台期,虽低于全国平均值但仍需努力。Objective Analyze maternal mortality and influencing factors in Liaoning Province from 2014 to 2019,to provide a reference for reducing maternal mortality and the government formulating policies.Methods Using the three-level network of maternal and child health care,the data of maternal deaths and main influencing factors in Liaoning Province from 2014 to 2019 were collected and analyzed.Results The maternal mortality rate in Liaoning Province from 2014 to 2019 was significantly lower than the national average,with fluctuations ranging from 9.2/100,000 to 14.9/100,000.In 2014 and 2015,the number one priority of maternal mortality factors in Liaoning Province was amniotic fluid embolism.From 2016 to 2019,the cause of amniotic fluid embolism decreased in sequence,and obstetric hemorrhage,hypertension,and heart disease became the top priorities.Among the influencing factors of maternal deaths,the health care system still accounted for a large proportion.The main problems were still lack of knowledge and skills.The problem of insufficient knowledge and skills in the county and district-level health care systems was particularly prominent.Conclusion From 2014 to 2019,the maternal mortality rate in Liaoning Province entered a plateau period.Although it is lower than the national average,efforts still need to be made.

关 键 词：孕产妇死亡 孕期保健 死因 

分 类 号：R714.66[医药卫生—妇产科学]