论文部分内容阅读
母亲安全是当今世界各国关注的重要问题.我国政府向世界承诺了到2000年孕产妇死亡率下降50%,密云县的研究是WHO 母亲安全研究项目之一。通过对1985～1988年的孕产妇死亡回顾分析,死亡漏报率为27.3%,出生漏报率为18%,并找出死亡漏报的原因。纠正后孕产妇死亡率为114/10万,几乎为北京市平均孕产妇死亡率的3倍,也稍高于全国的94.1/10万。又采用美国、挪威和WHO 的方法进行孕产妇死亡病例的综合评审。宏观评审得知,造成孕产妇死亡的第1位因素是孕妇、家庭、居民团体及医疗保健人员的知识和技能问题,占72.7%;性质评审结果是可避免死亡占39.7%;直接产科原因占死因构成的60.6%,其中产科出血占第1位,产褥感染和妊高征为第2、3位;特征分析中,发现产前检查少于3次者占63.6%,死亡时间在产时及产后占72.7%。根据调查研究结果,制定了有针对性的降低孕产妇死亡率的干预措施。
Maternal security is an important issue of concern to all countries in the world today, and my government promised to the world that by the year 2000, the maternal mortality rate will drop by 50%. Miyun County’s study is one of the WHO’s mother safety research projects. Through the retrospective analysis of maternal mortality from 1985 to 1988, the rate of death omission was 27.3%, and the rate of omission at birth was 18%, and the reason for the death omission was found out. The corrected maternal mortality rate was 114 / 100,000, almost three times the average maternal mortality rate in Beijing and slightly higher than the 94.1 / 100,000 in the country. A comprehensive assessment of maternal deaths has also been conducted using the United States, Norway and WHO methods. According to the macro assessment, the first factor contributing to maternal mortality was the knowledge and skills of pregnant women, families, resident groups and health care workers, accounting for 72.7% of the total; 39.7% were avoidable as a result of quality assessment; the direct maternity The cause of death accounted for 60.6%, of which obstetric hemorrhage accounted for the first place, puerperal infection and pregnancy-induced hypertension for the first 2,3; characteristic analysis, found that prenatal examination less than 3 times accounted for 63.6% of the time of death during delivery And postpartum accounted for 72.7%. Based on the findings of the survey, targeted interventions to reduce maternal mortality have been developed.