云南省玉溪市孕产妇死亡趋势与调整保健干预策略必要性探讨

为的探讨调整卫生保健干预措施的策略与思路，对玉溪市综合９县（区）１０年孕产妇死亡监测资料作动态分析，评估现行干预措施。结果显示，孕产妇死亡率在１９９０年的基础上下降２５．０６％，自１９９３年死亡率持续不降与乡级产科建设差距大，山区保健服务利用低，社会支技有待加强，乡村防保配套改革滞后，健康教育针对差有关。因此强调，实现２０００年规划目标，调整完善有效干预已势在必行。

A Discussion on Trend of Maternal Mortality During 10 Years and Necessi ty of Readjusting Care Intervention Strategies

In order to study strategies and thinkings of readjusting health care intervention. Methods showed that the monitoring data of maternal mortality were analyzed dynamicly from 1990 to 1999 in Yuxi City, Yunnan. The recent interventions were evaluated. Maternal mortality decreased 25.06% in 1999 than in 1990. No decreased maternal motality from 1993 was related to low township obstetrics quality, limited health service in mountain areas, underdeveloping social factors, light reforming township and village maternal and child care team and less health education. So in order to finish plan aims in 2000, it was urgent to readjust and improve effective interventions.