摘要
目的：分析湖北省孕产妇死亡状况、孕产妇死亡率、主要死亡原因及相关因素。方法：采用流行病学回顾性研究方法，对1998～2001年各市、县（区）妇幼保健机构上报的737份孕产妇死亡个案卡、相关的个案调查报告以及全省孕产妇死亡监测报表进行分析。结果：4年平均孕产妇死亡率为48．76／10万。前5位死亡原因依次为：产科出血、妊高征、羊水栓塞、妊娠合并心脏病、产褥感染。其中产科出血占54．3％。影响孕产妇死亡率的主要因素单因素非条件Logistie回归分析显示，计划内比计划外直接产科原因死亡的几率小，孕产妇从分娩到死亡时间越短越是直接产科原因导致的死亡。旧法接生、生育次数多、接生人员技术水平差、怀孕次数多、人流引产次数多、居住在边远贫困地区、分娩地点医疗水平差、经济水平差、年龄大都是直接产科原因死亡的促进因素。737例死亡孕产妇做过产前检查的占76．0％，产检次数大于5次的只有22％。分娩地点与死亡地点在家中或转诊途中的分别为40．4％、41．7％，非医务人员接生的占20．5％。结论：湖北省孕产妇死亡率略低于全国的平均水平；主要死因为产科出血、妊高征、羊水栓塞、妊娠合并心脏病、产褥感染。需要进一步提高产前检查质量和数量，加强孕产妇保健系统管理，提高住院分娩率，加强高危孕产妇管理和危急重症的救治，可进一步降低湖北省孕产妇死亡率。
Objective： To know the features of maternal mortality in Hubei from 1998 to 2001. Methods： The retrospective survey analysis was used in researching of 737 pregnant and lying - in women＇ death case reports and years＇reports in Hubei Province. And the data was entered into the database set up with SPSS 10. 0 then carry on statistics analysis. Results： MMR was 48. 76 per 100 000 live births. Major causes of maternal mortality：the first four reasons of maternal mortality in turns were ： obstetric hemorrhage, preeolampsia/eclampsia, amniotic fluid embolism, heart disease, in which the obstetric hemorrhage constitute 54. 3%. Condition of heath care and service： Only 76. 0% of 737 death pregnant and lying-in women had accepted examination during pregnancy, and 22. 0% of them were over five times. The delivery spots and death spots were concentrated in home or during transportation, accounting for 40.4% and 41.7% respectively. Conclusion：MMR in Hubei province is a litter lower than the national average level. Major causes is still obstetric hemorrhage.
出处
《中国妇幼保健》
CAS
北大核心
2007年第16期2163-2165,共3页
Maternal and Child Health Care of China
关键词
孕产妇
死亡率
死亡原因
影响因素
干预措施
Maternal mortality rate
Cause of death
Relative factors
Intervention measure
