信阳市1999～2003年死亡孕产妇文化程度与其保健服务利用的相关性分析

目的：探讨死亡孕产妇文化程度与其保健服务利用的相关性，以便采取有针对性的干预措施，有效降低孕产妇死亡率。方法：对信阳市1999-2003年236例死亡孕产妇的监测报告卡内容进行资料整理和统计学分析。结果：本市1999年-2003年孕产妇死亡率呈整体下降趋势，由74．06／10万下降到61．43／10万。引起孕产妇死亡的前3位病因分别是产科出血（占51．35％）、妊娠高血压综合征（占17．37％）和羊水栓塞（占12．19％）。随着死亡孕产妇文化程度的提高，其死亡率越低、分娩地点选择县以上医院的概率越高、越重视孕早期检查和产前检查、不可避免因素引起死亡的概率越高，同时死亡孕产妇文化程度同孕产妇死亡率呈负相关。结论：死亡孕产妇文化程度与其围生期保健服务利用存在较好的相关性，孕产妇文化程度是影响孕产妇死亡率的关键因素。

ANDLYSIS OF THE CORRELATION BETWEEN EDUCATION LEVEL OF MATERNAL WOMEN AND THEIR UTILITY OF HEALTH CARE SERVICE DURING 1999～2003

Objective:To study the correlation between education level of maternal women and their utility of health care service in order to determine preventable factors and decrease the maternal mortality.Methods:The sampling data of the pregnant women of the 236 death cases was collelted in order to carry out statistical analysis in 1999-2003 in XinYang city.Results:The trend of maternal mortality was decreasing in 1999-2003 in general,the maternal mortality decreased from 74.06/100000 in 1999 to 61.43/100000 in 2003.The top three causative factors leading to the death of these pregnant women were obstetric hemorrhage(51.35%),pregnancy-induced hypertension syndrome(17.37%) and amniotic fluid embolism(12.19%).With the increase of the education level of the pregnant women,death rate became more lower,the rate of choosing the county hospitals or higher level hospitals became higher,the more attention were paid to the early care of pregnant women within 12 weeks and the prenatal examination,and the rate of the unavoidable deaths got higher.Simultaneously,the education level of the pregnant women negativly correlated with the maternal mortality of the women.Conclusion:The education level of the pregnant women is well correlated with the availability of their health care service utility in 236 death cases.The education level of the pregnant women is the key factor that influences the maternal mortality of the women.