2008—2019年广西孕产妇死亡率变化及影响因素分析  

Trends and influencing factors of maternal mortality in Guangxi,2008—2019

作　　者：覃娴静 邓蒙 冯启明[1] QIN Xian-jing;DENG Meng;FENG Qi-ming(Health Policy Research Center of Guangxi Medical University,Nanning,Guangxi 530021,China)

机构地区：[1]广西医科大学卫生与健康政策研究中心,南宁530021

出　　处：《现代预防医学》2021年第9期1687-1690,共4页Modern Preventive Medicine

基　　金：广西医科大学特色新型智库调研课题项目(GXMUZK05)。

摘　　要：目的分析2008—2019年广西孕产妇死亡率变化趋势及影响因素,为"十四五"相关部门制定降低孕产妇死亡率相关措施提供循证依据。方法对2008—2019年广西孕产妇死亡率、主要死因构成和孕产期保健措施进行描述性分析,采用Spearman秩相关分析孕产期保健服务各项指标与孕产妇死亡率的相关性。结果广西孕产妇死亡率从2008年的23.0/10万下降到2019年的11.5/10万,年均降幅6.11%,其中,城市孕产妇死亡率由2008年的17.3/10万下降到2019年的14.5/10万,年均降幅1.6%;农村孕产妇死亡率由2008年的24.9/10万下降到2019年的10.1/10万,年均降幅7.9%。广西少数民族聚居地区孕产妇死亡率较高。2008—2019年产科出血和羊水栓塞排列孕产妇死因构成的前2位。2011年以后,建卡率、系统管理率、产前检查率、产后访视率均在90%以上,住院分娩率均超过99%。建卡率、产前检查率和住院分娩率分别与孕产妇死亡率存在负相关(P<0.05)。结论广西孕产妇死亡率呈下降趋势,已低于全国平均水平,但城乡和地域之间的孕产妇死亡率水平仍存在差距。孕产妇死亡率下降与孕产期保健服务水平密切相关。需要在加强农村地区尤其少数民族地区的妇幼卫生服务能力建设,提升妇幼保健人员的产科急危重症救治能力,提高孕产妇个人及家庭的自我保健知识水平等方面实施综合措施。Objective To analyze the trends and factors of maternal mortality in Guangxi Province from 2008 to 2019,so as to provide evidence-based references for the relevant departments of the 14 th Five-Year Plan to formulate policies and measures.Methods The maternal mortality rate,leading cause of death composition and maternal health care measures in Guangxi Province from 2008 to 2019 was analyzed using descriptive statistical analysis.The correlation between maternal health care indicators and maternal mortality was analyzed by Spearman rank correlation.Results The maternal mortality rate in Guangxi Province dropped from 23.0/100000 in 2008 to 11.5/100000 in 2019,with an average annual decrease of 6.11%.Among them,the urban maternal mortality rate dropped from 17.3/100000 in 2008 to 14.5 in 2019,with an average annual decrease of 1.6%.The rural maternal mortality rate dropped from 24.9/100000 in 2008 to 10.1/100000 in 2019,with an average annual decrease of 7.9%.The areas inhabited by ethnic minorities had higher maternal mortality rates compared to other areas.From 2008 to 2019,obstetric hemorrhage and amniotic fluid embolism ranked the top two causes of maternal death.Since 2011,the health record card establishment rate,systematic management rate,prenatal check-up rate,and post-natal visit rate had all exceeded 90%,and the hospital delivery rate had all exceeded 99%.The rate of health record card establishment,prenatal check-up rate and hospital delivery rate were negatively correlated with maternal mortality(P<0.05).Conclusion The maternal mortality rate in Guangxi Province keeps going down and is lower than the national average.However,there is still a gap in the level of maternal mortality between urban and rural areas and different regions.The decline in maternal mortality is closely related to the level of health care during pregnancy and childbirth.It is necessary to strengthen the capacity building of maternal and child health services in rural areas,especially in ethnic minority areas,improve the emergency a

关 键 词：孕产妇死亡率 影响因素 孕产期保健服务 广西壮族自治区 

分 类 号：R173[医药卫生—妇幼卫生保健]