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中国1996~2000年孕产妇死亡监测的流行病学特征分析
引用本文:梁娟,朱军,王艳萍,吴艳乔,代礼,缪蕾,周光萱. 中国1996~2000年孕产妇死亡监测的流行病学特征分析[J]. 四川大学学报(医学版), 2007, 38(1): 138-141
作者姓名:梁娟  朱军  王艳萍  吴艳乔  代礼  缪蕾  周光萱
作者单位:四川大学华西第二医院,全国妇幼卫生监测办公室,成都,610041;四川大学华西第二医院,全国妇幼卫生监测办公室,成都,610041;四川大学华西第二医院,全国妇幼卫生监测办公室,成都,610041;四川大学华西第二医院,全国妇幼卫生监测办公室,成都,610041;四川大学华西第二医院,全国妇幼卫生监测办公室,成都,610041;四川大学华西第二医院,全国妇幼卫生监测办公室,成都,610041;四川大学华西第二医院,全国妇幼卫生监测办公室,成都,610041
基金项目:卫生部妇幼保健与社区卫生司、全国31省、自治区、直辖市及116个监测点的各级卫生厅(局)基层卫生与妇幼保健处和妇幼保健院的各级管理及业务人员为全国妇幼卫生监测做了大量工作,在此表示衷心感谢!
摘    要:目的 了解1996~2000年我国孕产妇死亡发生的主要流行病学特征及城乡差别.方法 在全国31个省、自治区、直辖市孕产妇死亡监测网内采用以人群为基础的流行病学调查方法.结果 1996~2000年全国监测孕产妇死亡1704例,城市341例,农村1363例,城市死亡孕产妇中,69.9%受过中等教育,74.5%居住在平原;农村死亡孕产妇中,73.3%受过初等教育,65.1%居住在山区.全国死亡孕产妇中,76.8%发生在分娩后,49.0%在家分娩,28.9%未接受过产前保健.农村死亡孕产妇中,58.5%在家分娩,35.5%在家死亡,33.1%的分娩由非医务人员接生,31.8%未接受过产前保健.结论 受教育程度低、居住环境偏僻、孕期保健意识薄弱和住院分娩率低是影响我国孕产妇死亡的主要因素.

关 键 词:孕产妇死亡  流行病学  监测
收稿时间:2006-03-20
修稿时间:2006-07-17

Epidemiological Analysis of the Maternal Mortality Surveillance data (1996-2000) in China
LIANG Juan,ZHU Jun,WANG Yan-ping,WU Yan-qiao,DAI Li,MIAO Lei,ZHOU Gang-xuan. Epidemiological Analysis of the Maternal Mortality Surveillance data (1996-2000) in China[J]. Journal of Sichuan University. Medical science edition, 2007, 38(1): 138-141
Authors:LIANG Juan  ZHU Jun  WANG Yan-ping  WU Yan-qiao  DAI Li  MIAO Lei  ZHOU Gang-xuan
Affiliation:National Office for Maternal and Child Health Surveillance, West China Second Hospital, Sichuan University, Chengdu 610041, China.
Abstract:Objective To investigate the epidemiologieal attributes of maternal mortality in China from 1996 to 2000 and its variance between urban and rural areas. Methods The data were collected through a population-based epidemiologieal survey by the national maternal mortality surveillance network, which covered about 80 million people in 31 jurisdictions in China. Results There were 1704 maternal deaths being reported from 1996 to 2000 by the surveillance network, among which 341 were in urban areas and 1363 in rural areas. In the urban reported deaths, 69. 9% happened in those who had completed junior high schools and 74.5% happened in plain areas. In the rural reported deaths, 73.3% happened in those who had only completed primary schools and 65. 1% happened in mountain areas. Of the total reported deaths, 76.8% deaths occurred in postpartum, 40% gave birth at home, and 28. 9% received no prenatal care at all. By contrast, in the rural areas, homed deliveries were accounted for 58. 5% of the reported death; 35. 5% died at home; 33. 1% were attended by untrained midwives 31.8% had no prenatal care. Conclusion Poor education, geographic remoteness, insufficient prenatal care, and lower hospitalization rate are main factors contributing to maternal mortality in China.
Keywords:Maternal mortality Epidemiology Surveillance
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