孕产妇死亡率下降趋势及其相关因素分析

目的　分析孕产妇死亡率下降趋势及其相关因素 ,以进一步加快孕产妇死亡率的下降速度。　方法　对内蒙古、江西等 8个省的农村贫困地区共 2 32个县的孕产妇死亡情况及相关资料进行影响因素分析。　结果　研究地区的平均孕产妇死亡率自 1995年至 2 0 0 0年下降了 5 1.33% ,下降明显 ,但与全国水平相比仍有差距 ;孕产妇死亡率的下降趋势前中期较中后期下降幅度大 ;孕产妇死亡率的下降速度与经济的增长速度、卫生经费投入的增加及住院分娩率、消毒接生率、产前检查率、产后访视率的增加有关。　结论　建议进一步提高孕产期保健和产科服务质量、改善交通通讯设施以加快孕产妇死亡率的下降速度

A analysis on descending trend of maternal mortality ratio and its related influencing factors

Objective To analyze the descending trend of maternal mortality ratio (MMR) and its related influencing factors in order to improve the descending speed of MMR. Methods The influencial factor analysis and u test were made on data collected from 232 rural counties of eight provinces in China. Results MMR had shown remarkable reduction from 1995 to 2000, a drop by 51.33%. However, there was still a gap if compared with the ratio of the whole country. Major causes influencing the descending speed of MMR include the high speed of economic development, more expenditure of health, quality of maternal service, such as the ratio of hospital delivery, cleaning delivery, prenatal and postnatal health care. Conclusion In order to accelerate the descending speed of MMR, attempts to increase the improvement speed of maternal health care, quality of maternal service and more expenditure of health should be made.