郴州市2000—2006年孕产妇死亡监测结果分析.pdfVIP

实用预防医学 2008年2月 第15卷 第1期 Practical Preventive Medicine，Feb．2008，Vol 15，No．1 163 文章编号：1006—3110(2008)01—0163—03 【妇幼保健 】 郴州市2000—2006年孕产妇死亡监测结果分析 唐 薇’，方岳云’，蒋小兰’，谭 徽 摘要： 目的 了解郴州市孕产妇死亡原因和影响因素。 方法 对郴州市 11个县市区2000—2006年的死亡孕产 妇进行连续动态监测，并逐例调查、核实、评审和分析。 结果 2000—2006年全市监测孕产妇死亡131例，年平均孕产 妇死亡率为43．38／10万；城市5例，农村126例；以初中及以下文化程度为多，占93．89％；87．02％的孕产妇死亡发生在分 娩后，产后24 h内死亡占83．33％；28．95％在家中分娩；10．69％死亡在送往医院途中；31．3％未接受过产前保健；死亡的 主要原因是直接产科原因，占83．9％，其中前三位死亡原因依次为产科出血，羊水栓塞，妊娠高血压病；评审结果可避免死 亡为主，占72．52％。 结论 受教育程度低，居住环境偏僻，基层产科条件差、技术弱，孕期保健意识差，住院分娩率低是 影响郴州市孕产妇死亡的主要因素。 关键词： 孕产妇；死亡率；监测；分析 中图分类号：R7I4 文献标识码：A Analysis of Maternal Mortality in Chenzhou City from 2000 to 2006 TANG wei FANG Yue—yun．JIANG Xiao—lan et a1．(Chenzhou Municipal Hospital of Maternal and Child Health Care，Chenzhou 423000，Hunan，China) Abstract： Objective To study the cause and the influencing factors of pregnant and parturient women’S death in Chenzhou City． Methods The maternal mortalities in 1 1 counties and prefectures of Chenzhou City were monitored contin— uously with dynamic method．Every case had been investigated，verified，estimated and analyzed． Results A total of 131 pregnant and parturient women died in their perilabor and delivery period in Chenzhou City fr0m 2000 to 2006．The average annual maternal mortality rate was 43．38／100，000．Five cases occurred in the city，and 126 cases in the country side．Most of the fataI cases were lowly educated which accounted for 93．89％，87．02％ maternaI deaths occurred after Iabor，83．33％ deaths occurred within 24一hour postdelivery，28．95％ died at their home during the course of parturition，and 10．69％ died on the route of transferring into hospita1．Among them．31．3％ received no prede livery care．The direct obstetric events were the mai