汕头市2001～2003年孕产妇死亡情况分析

目的 :为掌握我市孕产妇死亡状况 ,分析构成孕产妇死亡的相关因素 ,为干预措施提供依据。方法 :2 0 0 1～2 0 0 3年汕头市三级保健网上报的妇幼卫生统计报表 ,孕产妇死亡报告卡、漏报调查表和城区孕产妇死亡监测等资料 ,经质量控制及死亡评审 ,对结果进行分析。结果 :2 0 0 1～ 2 0 0 3年孕产妇死亡率分别为 16 .10 /10万、14 .0 4 /10万、13.97/10万。孕产妇死亡前三位死因依次为产科出血、羊水栓塞、妊高征。外来人口孕产妇死亡占全市死亡总数 5 0 %。结论 :3年中孕产妇死亡率呈逐年下降趋势 ,产科出血死因居首 ,外来人口孕产妇死亡偏高。应重点加强对外来人口孕产妇保健管理的应对措施 ,提高产科出血抢救技术 ,有效的降低孕产妇死亡率 ,提高母婴健康水平

An analysis on fertilization maternal mortality in a period from 2001 to 2003 in Shantou city

Objective: To learn fertilization maternal mortality status in our city and analyse risk factors of maternal death to provide a basis for interventions, so as to improve maternal health. Methods: Through quality control and conclusive proof of death, we analyzed the data from Report Forms of Maternal and Child Health Statistics, Fertilization Maternal Mortality Card, Missing Report Questionnaire and Urban Pregnant and Parturient Women Death Monitoring obtained from the tertiary health care networks in a period from 2001 to 2003 in Shantou city. Results: The fertilization maternal mortality in the period from 2001 to 2003 in Shantou city were 16.10, 14.04, and 13.97 per one hundred thousand respectively. The first three causes of the death were orderly obstetric hemorrhage, amniotic fluid embolism and pregnancy-induced hypertension. Of which, the fertilization maternal mortality in extrinsic population of the city accounted for 50 percent of overall mortality rate. Conclusion: In 3 years of period, there was a decrease tendency in fertilization maternal mortality year by year. Among all causes of death, obstetric hemorrhage was in first place. And the fertilization maternal mortality in extrinsic population was comparatively higher. Therefore, to intensify meassures dealing with extrinsic pregnant and parturient women health management and to improve emergency techniques for obstetric hemorrage should be emphasized, so as to decrease fertilization maternal mortality rate effectively and enhance levels of both maternal and infantile health.