论文部分内容阅读
目的:了解宝鸡市不同地区孕产妇死亡率和动态变化规律及其死因分布特点,制定针对性干预策略,降低孕产妇死亡率。方法:采取回顾性调查方式走访死亡孕产妇家属,召开孕产妇死亡评审会,依据每年该地区内的活产数、死亡的孕产妇例数计算出孕产妇死亡率,分析孕产妇死亡率变化趋势。结果:1990~2006年该市孕产妇死亡率由65.7/10万下降到37.9/10万,下降幅度为42.3%;死亡率水平城市高于平原农村、高于山区农村;孕产妇死亡的前3位死因为:产科出血、妊娠高血压疾病、羊水栓塞。结论:宝鸡市孕产妇死亡率呈下降趋势,设立孕产妇救助基金,积极开展产科达标建设活动,加强基层业务人员培训,加大孕产期保健的宣传力度,加强部门之间协作等是降低孕产妇死亡率的有效措施。
Objective: To understand the maternal mortality and dynamic changes in different areas of Baoji City and the distribution of its causes of death, to develop targeted intervention strategies to reduce maternal mortality. Methods: A retrospective survey was conducted to visit relatives of deceased pregnant women and a review meeting of maternal deaths was held. Based on the number of live births in the region and the number of maternal deaths, the maternal mortality rate was calculated and the trend of maternal mortality was analyzed . Results: From 1990 to 2006, the maternal mortality rate dropped from 65.7 / 100 000 to 37.9 / 100 000, a drop of 42.3%. The urban mortality rate was higher than that in plain rural areas and rural areas in mountainous areas. The top 3 maternal deaths Bit due to: obstetric hemorrhage, pregnancy-induced hypertension, amniotic fluid embolism. Conclusions: The maternal mortality rate in Baoji City has been on the decline. Maternity relief funds have been set up, the obstetric construction activities have been actively carried out, the training of grassroots workers has been strengthened, the propaganda of maternal health care has been intensified, and the collaboration among departments has been strengthened. Effective measures for maternal mortality.