广东省1978~2003年孕产妇死亡情况分析

目的:调查广东省25年来孕产妇的死亡率及死因,分析总结在降低孕产妇死亡率工作中的经验与不足,提出改进措施。方法:根据广东省卫生厅基层卫生与妇幼保健处、广东省妇幼保健院提供的资料,对广东省1978~2003年孕产妇死亡情况分时间段进行统计、比较、分析。结果:25年间广东地区孕产妇死亡率呈逐年下降趋势,全省孕产妇死亡率由1978年的142·43/10万降至2003年的18·18/10万,但农村孕产妇死亡率一直高于城市孕产妇死亡率;流动人口孕产妇死亡率呈上升趋势;在孕产妇死亡原因中,间接产科因素增多,但产科出血始终排在首位。结论:广东省自1978以来孕产妇死亡率逐年下降,处于全国较低水平;需继续提高城、乡高危孕产妇检出率,农村需进一步提高住院分娩率;控制流动人口孕产妇死亡率已成为广东省妇幼保健工作的新重点。

Analysis on mortality of pregnant and lying - in women in Guangdong province from 1978 to 2003

Objective:By investigating the mortality o f pregnant and lying-in women and its cause to analyze and summarize the experienc e and insufficiency of work for reducing maternal mortality put forward improvem ent measures. Methods:According to the data provided by Maternal & Child Health Care Section of Guangdong Provincial Public Health Service and Guangdong Provincial Maternal & Child Health Hospital, the death cases of pregnant and ly ing-in women, from 1978 to 2003, were counted, compared and analyzed in differen t periods. Results:In recent 25 years, maternal mortality in Guangdon g dropped yearly from 142.43 per 100 000 in 1978 to 18.18 per 100 000 in 2003, but maternal mortality in rural area was always higher than that in city. And maternal mortality in floating population kept rising. The leading cause of mat ernal mortality in Guangdong is hemorrhage, though indirect factors increased. Conclusion:Since 1978, the maternal mortality has appeared a declined trend. The detective rate of high-risk pregnant and lying-in women in city and rural and the delivery rate at hospital in rural should be enhanced . Control of maternal mortality in floating population has been new stress of G uangdong provincial maternity and children healthcare work.