苏州市1999~2004年孕产妇死亡情况分析

目的:通过对孕产妇死亡相关资料的分析,总结孕产妇保健管理的经验教训,为进一步降低孕产妇死亡率,完善妇幼卫生工作制度制定对策提供科学依据。方法:采用回顾性调查,对苏州市1999~2004年的孕产妇死亡个案进行分析。结果:6年来苏州孕产妇死亡率平均为16.9/10万,并有所波动,在死亡的孕产妇中流动人口及未接受过孕产期保健的人员比例逐年上升,前3位死因分别为产科出血、羊水栓塞、妊高征及妊娠合并心脏病。死亡孕产妇中产时及产后死亡占71.1%,家中分娩者占28.1%。结论:苏州市的孕产妇死亡率已接近发达国家水平,要进一步降低孕产妇死亡率,必须加强基层产科的建设,加强对孕产妇中流动人口的孕产期保健管理,杜绝非法接生。

Analysis of maternal mortality in Suzhou from 1999 to 2004

Objective:To analyse the risk factors for maternal death and obtain experience for reducing maternal mortality rate(MMR).Methods:A retrospective study was performed to analyse the data of maternal death from 1999 to 2004.Results:The average MMR in Suzhou was 16.9/100 000;The proportions of maternal death were going up among floating maternal and those who never accepted an antenatal car.The risk factors causing maternal death were ranked as follows: obstetric hemorrhage,amniotio fluid embolism,pregnancy induced hypertension and maternal cardiac diseases.The proportion in maternal death during or post-parturition was about 71.1%;The proportion in maternal death of birthing at home was 28.1%.Conclusion:MMR in Suzhou was close to that in developed countries.To further reduce MMR in Suzhou depends on improving the management of floating population.