2000～2010年山东省潍坊市孕产妇死亡原因分析

目的:研究并分析2000～2010年潍坊市孕产妇死亡情况,探讨孕产妇死亡的主要原因及变化趋势,寻求降低孕产妇死亡率的有效途径。方法:根据潍坊市所辖县(市、区)妇幼保健院(站)上报的2000年1月～2010年12月孕产妇死亡原始记录及市级孕产妇死亡病例评审情况,对孕产妇死亡原因进行回顾性分析。结果:2000～2010年潍坊市出生活产数875 511例,死亡孕产妇123例,平均孕产妇死亡率为14.05/10万。前5年平均孕产妇死亡率为21.10/10万,后6年平均孕产妇死亡率为8.66/10万,下降了12.44/10万,下降幅度明显。孕产妇前4位主要死亡原因分别为产科出血、羊水栓塞、妊娠合并内科疾病、妊娠期高血压疾病。结论:降低潍坊市孕产妇死亡率的措施包括:加强基层医院产科质量建设和专业技术培训,提高其对高危妊娠的识别、处理水平及转诊及时率;提高孕产妇系统保健率,加强孕产妇高危专案管理;加大健康教育宣传力度,提高孕产妇及家庭成员的自我保健意识。

Analysis on causes of maternal death in Weifang city of Shandong province from 2000 to 2010

Objective:To research and analyze the status of maternal death in Weifang city from 2000 to 2010,explore the main causes and change trend of maternal death,and seek effective ways to reduce maternal mortality.Methods:The causes of maternal death were analyzed retrospectively according to original records of maternal death and appraisal conditions of maternal deaths at city level reported by maternal and child health hospitals(stations) at county(city,district) level in Weifang city from January 2000 to December 2010.Results:A total of 875 511 live neonates were born in Weifang city from 2000 to 2010,123 pregnant women died,the mean maternal mortality was 14.05/100 000.The mean maternal mortalities in the former five years and the latter six years were 21.10/100 000 and 8.66/100 000,respectively,decreasing by 12.44/100 000,the amplitude of decrease was obvious.The top four causes of maternal death were obstetrical hemorrhage,amniotic fluid embolism,pregnancy combined with medical diseases,and hypertensive disorder complicating pregnancy.Conclusion:The measures to reduce maternal mortality in Weifang city include strengthening obstetrical quality construction and specialized technical training in primary hospitals,improving cognitive and coping levels to high risk pregnancy and timely transferring rate,improving maternal system health care rate,enhancing maternal high risk project management,strengthening publicity of health education,and improving self-health care consciousness of pregnant women and family members.