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目的了解2004-2013年佛山市孕产妇死亡率的变化趋势和特征,为降低孕产妇死亡率提供依据。方法采用描述性分析、possion检验、Cox-Stuart[1]升降趋势检验,对2004~2013年佛山市孕产妇死亡监测数据进行分析。结果2004-2013年佛山市平均非户籍孕产妇死亡率高于户籍孕产妇死亡率,差异有显著性(P<0.0001)。全市、非户籍和户籍孕产妇死亡率分别由2004年的34.77/10万、50.98/10万和23.91/10万降至2013年的10.73/10万、11.22/10万和9.86/10万,降幅分别达69.10%、78.00%和58.76%,年平均增长速度分别为-0.12、-0.15和-0.09,其中2004-2009年全市、非户籍、户籍孕产妇死亡率平均增长速度分别为-0.21、-0.19和-0.25。2004~2013年全市和非户籍孕产妇死亡率下降有统计学意义(P<0.05)。结论 004~2013年佛山市非户籍孕产妇死亡率高于户籍孕产妇死亡率,全市孕产妇死亡率呈下降趋势,非户籍孕产妇死亡率下降速度明显快于户籍孕产妇,降幅明显。2004~2009年我市孕产妇死亡率下降速度最快。
Objective To understand the changing trends and characteristics of maternal mortality in Foshan City from 2004 to 2013 and provide basis for reducing maternal mortality. Methods Descriptive analysis, possion test and Cox-Stuart [1] test of ascending and descending trend were used to analyze the monitoring data of maternal death from 2004 to 2013 in Foshan City. Results The average non-household maternal mortality in Foshan in 2004-2013 was higher than that of household maternal mortality (P <0.0001). The city’s maternal mortality rate for non-household registration and household registration dropped from 34.77 / 100,000, 50.98 / 100,000 and 23.91 / 100,000 in 2004 to 10.73 / 100,000, 11.22 / 100,000 and 9.86 / 100,000 in 2013 respectively Accounting for 69.10%, 78.00% and 58.76% respectively. The average annual growth rates were -0.12, -0.15 and -0.09, respectively. Among them, the average growth rates of maternal mortality in 2004-2009 in the whole city, non-household register and household register were -0.21 and - 0.19 and -0.25. The decrease of maternal mortality rate between 2004 and 2013 in the whole city and non-household registration countries was statistically significant (P <0.05). Conclusion The death rate of non-household maternity in Foshan from 004 to 2013 is higher than the maternal mortality rate of household registration. The maternal mortality rate in the city shows a decreasing trend. The death rate of non-household maternal mortality rate is significantly lower than that of household maternity women. From 2004 to 2009, the maternal mortality rate dropped fastest in our city.