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目的:通过孕产妇死亡个案资料分析上海市孕产妇死亡率、死因变化和影响因素,为降低孕产妇死亡率提供依据。方法:回顾分析2000～2007年的孕产妇死亡个案资料。结果:①2000～2007年上海市孕产妇死亡221例,孕产妇死亡率为24.42/10万;其中,本地户口孕产妇死亡43例,孕产妇死亡率为8.60/10万;外地户口孕产妇死亡178例,孕产妇死亡率为43.94/10万,后者明显高于前者。②本市户口的孕产妇死亡率比在近年较为稳定,基本保持10/10万以下,2007年为7.36/10万;外地户口孕产妇的死亡率从2000年的57.85/10万下降到2007年的17.01/10万,下降趋势明显,特别是在2002年之后呈现很明显的下降趋势。③全市孕产妇死因依次是产后出血、妊娠期高血压疾病、妊娠合并心脏病、合并肝病、羊水栓塞,外地户口死因顺位与全市的相同;本地户口孕产妇的死因顺位依次是产后出血、异位妊娠、妊娠合并心肝病、合并肝病和羊水栓塞。结论:而要切实的降低孕产妇死亡率,达到全覆盖的孕产妇保健管理,加强对流动人口的有效管理是关键。
OBJECTIVE: To analyze maternal mortality rate, causes of death and influencing factors in Shanghai by data of maternal death and provide basis for reducing maternal mortality. Methods: The cases of maternal death from 2000 to 2007 were retrospectively analyzed. Results: ①In 2000-2007, 221 maternal deaths in Shanghai were carried out, with a maternal mortality rate of 24.42 / 100 000. Among them, 43 were maternal deaths in local registered permanent residence, with a maternal mortality rate of 8.60 / 100 000; maternal deaths in overseas residences were 178 For example, the maternal mortality rate was 43.94 / 100,000, which was significantly higher than the former. (2) The maternal mortality ratio of Hukou accounts is stabler than in recent years, basically below 10 million. In 2007, the maternal mortality rate was 7.36 / 100 thousand. The maternal death rate in overseas accounts dropped from 57.85 / 100,000 in 2000 to 2007 Of 17.01 / 10 million, a clear downward trend, especially after 2002 showed a clear downward trend. The cause of maternal death in the city followed by postpartum hemorrhage, hypertensive disorders during pregnancy, pregnancy complicated with heart disease, liver disease, amniotic fluid embolism, the same cause of death in other places and the city; the local registry of maternal causes of death followed by postpartum hemorrhage, Ectopic pregnancy, pregnancy with heart disease, liver disease and amniotic fluid embolism. Conclusion: To effectively reduce maternal mortality, achieve full coverage of maternal health management, and strengthen the effective management of floating population is the key.