上海市2000～2007年孕产妇死亡情况分析

目的:通过孕产妇死亡个案资料分析上海市孕产妇死亡率、死因变化和影响因素,为降低孕产妇死亡率提供依据。方法:回顾分析2000～2007年的孕产妇死亡个案资料。结果:①2000～2007年上海市孕产妇死亡221例,孕产妇死亡率为24.42/10万;其中,本地户口孕产妇死亡43例,孕产妇死亡率为8.60/10万;外地户口孕产妇死亡178例,孕产妇死亡率为43.94/10万,后者明显高于前者。②本市户口的孕产妇死亡率比在近年较为稳定,基本保持10/10万以下,2007年为7.36/10万;外地户口孕产妇的死亡率从2000年的57.85/10万下降到2007年的17.01/10万,下降趋势明显,特别是在2002年之后呈现很明显的下降趋势。③全市孕产妇死因依次是产后出血、妊娠期高血压疾病、妊娠合并心脏病、合并肝病、羊水栓塞,外地户口死因顺位与全市的相同;本地户口孕产妇的死因顺位依次是产后出血、异位妊娠、妊娠合并心肝病、合并肝病和羊水栓塞。结论:而要切实的降低孕产妇死亡率,达到全覆盖的孕产妇保健管理,加强对流动人口的有效管理是关键。

Analysis of mortality of pregant and lying-in women from 2000 to 2007 in Shanghai

Objective:To provide the scientific evidence for further reducing maternal mortality rate(MMR)through analyzing MMR,the variety of death causes and influencing factors.Methods:A retrospective study was conducted on the data of maternal death and audit from 2000 to 2007.Results:①The total number of Shanghai maternal death was 221 among which the local residents was 43 and the floating population was 178;therefore,the average MMR was 24.42/100 000.The average MMR of local residents(8.60/100 000)was obvionsly higher than that of the floating population(43.94/100 000).②The MMR of the local residents basically remained under 10/100 000 in the past eight years and was 7.36/100 000 in 2007.The MMR of the foating population was reduced from 57.85/100 000 in 2000 to 17.01/100 000 in 2007.From 2000 to 2007 especially after 2002 there was an obvious descending trend in MMR of the floating population.③The main maternal death causes of the whole Shanghai population were:postpartum hemorrhage,hypertensive disorder complicating pregnancy,heart disease,hepatic desease and amniotic fluid embolism;and the sequence of the floating population's main maternal death causes was as same as the whole population;but for the local residents,the order was postpartum hemorrhage,ectopic pregnancy,heart disease,hepatic disease and amniotic fluid embolism.Conclusion:In order to reduce MMR effectively and achieve the goal of entire maternal healthcare management,the key point is to effectively strengthen the floating population administration.