| 2011-2015年浙江省温州市孕产妇死亡分析 |
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| 引用本文： | 吴晓雪,叶傲霜,陈婕,邱园园,张秀军. 2011-2015年浙江省温州市孕产妇死亡分析[J]. 疾病监测, 2017, 32(1): 77-81. DOI: 10.3784/j.issn.1003-9961.2017.01.019 |
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| 作者姓名： | 吴晓雪 叶傲霜 陈婕 邱园园 张秀军 |
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| 作者单位： | 1.温州市妇幼保健所, 浙江 温州 325000 |
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| 基金项目： | 温州市科学技术局公益性科技计划项目（No.Y20160349） |
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| 摘 要： | 目的 研究并分析2011-2015年浙江省温州市孕产妇死亡情况，了解孕产妇死亡率变化趋势、主要死因谱改变及其相关影响因素，为提出有效的干预措施、改进工作方法和内容，进一步降低孕产妇死亡提供参考依据。方法 采用回顾性调查分析法，根据全国《孕产妇死亡监测方案》要求，对2011-2015年温州市孕产妇死亡个案及评审结果进行分析。结果 2011-2015年温州市孕产妇死亡率总体呈下降趋势。近5年，全人群平均孕产妇死亡率为9.16/10万，其中户籍人口平均孕产妇死亡率为6.47/10万，流动人口平均孕产妇死亡率为14.93/10万，两者差异有统计学意义（2=10.00，P0.01）。死亡孕产妇文化程度普遍较低、产前检查5次比较多见、大部分为高危孕产妇。孕产妇主要死因居前4位的依次是妊娠合并内科疾病（40.74%）、产科出血（16.67%）、羊水栓塞（11.11%）、麻醉意外（7.41%）。产科直接原因和非产科直接原因导致的孕产妇死亡、可避免死亡与不可避免死亡在2011-2015年间比较差异均有统计学意义（2=17.7，P0.01；H=15.57，P0.01）。结论 规范孕产妇系统保健管理、加强临床多学科、多部门合作与提高综合救治能力是进一步降低孕产妇死亡率的关键。
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| 关 键 词： | 孕产妇 死亡率 死亡原因 干预措施 |
| 收稿时间： | 2016-06-08 |
Analysis on maternal mortality in Wenzhou,Zhejiang, 2011-2015 |
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| WU Xiao-xue,YE Ao-shuang,CHEN Jie,QIU Yuan-yuan,ZHANG Xiu-jun. Analysis on maternal mortality in Wenzhou,Zhejiang, 2011-2015[J]. Disease Surveillance, 2017, 32(1): 77-81. DOI: 10.3784/j.issn.1003-9961.2017.01.019 |
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| Authors: | WU Xiao-xue YE Ao-shuang CHEN Jie QIU Yuan-yuan ZHANG Xiu-jun |
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| Affiliation: | 1.Wenzhou Maternal and Child Health Care Center, Wenzhou 325000, Zhejiang, China2.School of Public Health, Anhui Medical University, Hefei 230032, Anhui, China |
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| Abstract: | Objective To understand the maternal mortality and related factors in Wenzhou, Zhejiang province, during 2011-2015, and provide evidence for the improvement of intervention to reduce maternal mortality. Methods Retrospective analysis, according to the National Maternal Death Surveillance Protocol, was conducted by using the data of maternal deaths in Wenzhou from 2011 to 2015. Results During 2011-2015, the overall maternal mortality rate declined in Wenzhou. In recent five years, the overall maternal mortality rate was 9.16/100 000, the average maternal mortality rate was 6.47/100 000 in local population and 14.93/100 000 in floating population, the difference was significant. Low educational level, 5 times of prenatal examination were high risk factors for maternal mortality. The first 4 causes of maternal deaths were pregnancy with internal diseases (40.74%), obstetric bleeding (16.67%), amniotic fluid embolism (11.11%), anesthesia accident (7.41%). The differences in maternal death, including avoidable death and the inevitable death,between obstetric causes and non-obstetric causes was significant during 2011-2015. Conclusion In order to further reduce the maternal mortality rate, it is essential to standardize the management of the maternal health care, strengthen clinical multidisciplinary and multisectoral cooperation and improve comprehensive treatment capability. |
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| Keywords: | Pregnant and lying-in woman Mortality rate Cause of death Intervention. |
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