摘要
目的：通过对陕西省汉中市2006～2013年孕产妇死亡原因进行分析,了解孕产妇死亡的主要因素,探求行之有效的干预措施,以降低孕产妇死亡率（MMR）。方法：对汉中市2006～2013年孕产妇死亡资料进行回顾性分析。结果：18年来汉中市总活产数232 446例,从2006年的24 128例增加到2013年的30 876例,呈持续增长态势,增长率27.97%。28年来汉中市孕产妇死亡50例,MMR为21.51/10万,从2006年的45.59/10万下降到2013年的9.71/10万,下降趋势明显。38年来汉中市孕产妇死亡顺位前3位的依次是产后出血（23例,占46.00%）、内科合并症（11例,占22.00%）、产科合并症（4例,占8.00%）。48年来汉中市死亡孕产妇分娩和死亡地点逐渐由乡镇卫生院转移至县级以上医院。结论：加强围产期保健;强化基层产科医师的业务能力;规范住院孕产妇的管理、诊断及转诊制度;提高孕产妇的自我保健意识,是降低MMR的关键。
Objective： To analyze the causes of maternal death in Hanzhong city of Shaanxi province from 2006 to 2013,understand the main factors of maternal death,explore effective intervention measures,reduce maternal mortality rate（ MMR）. Methods： The data of maternal death in Hanzhong city from 2006 to 2013 were analyzed retrospectively. Results： The total number of live birth was 232 446 from2006（ 24 128） to 2013（ 30 876）,showing an increasing trend,the increasing rate was 27. 97%. The total number of maternal death was50 and MMR was 21. 51 /100 000. MMR reduced from 45. 59 /100 000 in 2006 to 9. 71 /100 000 in 2013; there was an obvious descending trend in MMR. The top three main causes of maternal death among the whole Hanzhong population were postpartum hemorrhage（ 23 cases,46. 00%）,medical complications（ 11 cases,22. 00%） and obstetrical complications（ 4 cases,8. 00%）. The delivery place and location of death moved from private clinics and township hospitals to the county level and above hospitals. Conclusion： In order to reduce MMR,the measures as follows should be taken： strengthening perinatal care,enhancing the training of doctors in basic medical institutions,standardizing maternal management,diagnosis and referral system,enhancing self- health care awareness of the pregnant women.
出处
《中国妇幼保健》
CAS
北大核心
2014年第27期4375-4379,共5页
Maternal and Child Health Care of China
关键词
孕产妇
死亡率
分析
Pregnant woman
Mortality rate
Analysis
