2001～2010年甘肃省平凉市孕产妇死亡率变化趋势及死因构成分析

目的:分析平凉市2001～2010年孕产妇死亡率变化趋势、主要死亡原因及变化特征,为进一步降低孕产妇死亡率提供科学依据。方法:对131例死亡孕产妇观察资料进行回顾性调查,分析孕产妇死亡率变化及死亡原因。结果:平凉市孕产妇死亡率从2001年的69.84/10万下降到2010年的37.35/10万,降幅为46.52%;产科出血(46.56%)、妊娠合并内科疾病(23.66%)、妊娠期高血压疾病(15.27%)、羊水栓塞(6.87%)等是造成孕产妇死亡的主要原因。结论:2001～2010年平凉市孕产妇死亡率整体呈下降趋势,产科出血为导致孕产妇死亡的主要原因。

nalysis on change trend of maternal mortality and constitution of death causes in Pingliang city of Gansu province from 2001 to 2010

Objective:To analyze the change trend of maternal mortality,major causes of death,and change characteristics in Pingliang city from 2001 to 2010,and provide scientific basis for further reducing maternal mortality. Methods:The clinical data of 131 maternal deaths were investigated retrospectively,the change and causes of maternal death were analyzed. Results:The maternal mortality rate in Pingliang city reduced from 69.84 per 100 000 in 2001 to 37.35 per 100 000 in 2010,the decreasing amplitude was 46.52%;obstetric hemorrhage(46.56%),pregnancy combined with medical diseases(23.66%),hypertensive disorder complicating pregnancy(HDCP)(15.27%),and amniotic fluid embolism(6.87%) were the main causes of inducing maternal death. Conclusion:The maternal mortality in Pingliang city from 2001 to 2010 showed a decreasing trend on the whole,obstetric hemorrhage was one of the main causes inducing maternal death.