摘要
目的 为了解临海市孕产妇死亡率 ,进一步做好围产期保健工作 ,降低孕产妇死亡率提供科学依据 ,回顾性的分析临海市近 10年来孕产妇死亡原因。 方法 回顾性分析。 结果 10年来孕产妇死亡率平均为 2 2 .78/10万 ,其中 1993～ 1998年间死亡率为 2 8.2 4/10万 ,1999～ 2 0 0 3年间死亡率为 17.5 3 /10万 ;孕产妇的死因前 4位依次为产后出血、妊娠合并心脏病、妊高征、羊水栓塞。经专家评审结果发现产科直接原因死亡占 64 .2 9% ,非产科直接原因死亡占3 5 .71% ;不可避免死亡占 3 9.2 9% ,可避免死亡占 2 5 % ,创造条件可避免死亡占 3 5 .71%。 结论 孕产妇死亡原因主要与围产期保健因素有关 ,尤其是医务人员的知识技能水平相关 ,另外 ,还与个人家庭因素 ,尤其是经济状况、文化水平、自我保健意识等有关。
Objective To investigate the maternal death rate in Linhai so as to improve perinatal health care,and provide scientific basis for reducing maternal mortality. Methods Retrospective review of maternal deaths in last decade was performed. Results The average maternal mortality was 22.78/100,000 (28.24/100,000 during 1993～1998 and 17.53 /100,000 during 1999～2003). The first four causes of maternal deaths were hemorrahage,cardiac disease in pregnancy,pregnancy-induced hypertension and amniotic embolism. It was confirmed by experts that 64.29% of the deaths were directly related to obstetricians' skills and 35.71% were associated with other factors. 39.29% were unavoidable,25% were avoidable and 35.71% would have been avoidable if favorable conditions had been created. Conclusion The causes of maternal deaths are related to perinatal health care,especially the medical workers' professional skills. Besides,they are also associated with maternal personal factors,such as economic status,education level and self-care consciousness.
出处
《实用预防医学》
CAS
2004年第4期682-683,共2页
Practical Preventive Medicine
关键词
孕产妇
死亡率
死因分析
干预措施
Parturients
Mortality
Analysis of death cause
Intervention approach
