云南省1990～1998年孕产妇死亡现状及对策

通过对不同地区、不同类型项目县及云南全省90年代孕产妇死亡现状的多因素进行分析,结果显示:云南省孕产妇死亡率呈逐年下降趋势,但与全国同期相比。高出80个10万分点;主要死因为产科出血,1998年占孕产妇死亡的64.30%,其中,因多种原因未经抢救的死亡≥62.07%。通过对直接原因、潜在原因和基础原因等多因素的分析,找出了影响孕产妇死亡的“五个延误”和“五个限制”,明确了“孕产妇安全分娩之路”的主要服务内容和需要的支持条件,提出了降低孕产妇死亡的干预措施。

The Maternal Mortality Condition Between 1990～1998 of Yunnan Province Intervention Strategies

The paper analyzes the mortality condition between 1990-1998 of Yunnan Province,those of some different areas and project counties in the province with multi -factor method Result:the maternal mortality rate (MMR) of Yunnan Province shows a declining trend,but it is 80 per one hundred thousand higher than that of the country in the same period. The leading death cause is obstetric nomorrhage and it accounts for 64. 30% of the total MMR in 1998. The 62. 07% of the death of the obstetric hemorrhage is caused by lack of emergent aid from different causes. We found out the "five delays" and "five limitations"leading the MMR by analyzing the direct,potential and basic causes. We found out the main service contents and necessary support conditions of "safe labor "and raised concerned intervention strategies.