摘要
目的探讨孕产妇死亡的相关因素,为卫生行政部门制定相关政策提供依据,进一步降低孕产妇死亡率。方法收集2014-2019年发生在吉林省的孕产妇死亡共计167例,将基本情况、死因诊断、省级评审结果等逐一进行统计分析。结果 6年间,孕产妇死亡率总体呈下降趋势(P<0.05),近三年孕产妇死亡年龄较前升高(P<0.05),死亡的孕产妇分娩方式以剖宫产为主,死于直接产科死因的孕产妇占到总死亡数的44.71%,死于直接产科死因的又以产科出血占到死因第一位,可避免死亡占总死亡数的50.3%。结论 "二孩"政策的实施,人口流出,高危孕产妇比例增加,活产数的下降,都对降低孕产妇死亡率提出了严峻考验。必须将孕产妇的管理关口前移,多措并举才能进一步降低孕产妇死亡率,确保母婴安全。
Objective To discuss the influencing factors of maternal mortality and to provide the reference for relevant strategies,thus to further reduce the maternal mortality and enhance the maternal and child health care level.Method A total of 167 maternal deaths in Jilin Province from 2014 to 2019 were collected. The basic information, diagnosis of the cause of death, and provincial review results were statistically analyzed.Result In the past 6 years, the maternal mortality showed an overall downward trend(P< 0. 05).The average age of death cases has increased in the past three years(P< 0. 05). Cesarean section was the main method of delivery for death cases. The death cases who died from direct obstetrical causes accounted for 44. 71% of the total deaths. Obstetrical hemorrhage was the leading cause of direct obstetrical death. 50. 3% maternal deaths of these cases could be avoided.Conclusion The implementation of two-child policy, decreasing of the local population, and the increase in the proportion of high-risk pregnancy and the decline in the number of live births have all posed a severe test to reduce maternal mortality. Comprehensive obstetric service ability and the management should be further improved, these measures are the keys to further reduce maternal mortality and ensure the safety of mothers and their children.
作者
易立岩
吴美谖
姜停停
尹宝萍
YI Li Yan;WU Mei Xuan;JIANG Ting Ting;YIN Bao Ping(Maternal and Child Health Hospital of Jilin Province,Changchun 130061,China;Institute of Population and Life Science Technology of Jilin,Changchun 130061,China)
出处
《中国妇幼卫生杂志》
2021年第2期7-11,共5页
Chinese Journal of Women and Children Health
关键词
孕产妇死亡
死因分析
干预措施
maternal mortality
cause of death
intervention measure
