南宁市孕产妇死亡率水平及的影响因素分析.docVIP

南宁市孕产妇死亡率水平及的影响因素分析 　　【摘要】 目的：探讨南宁市孕产妇死亡率及影响因素，并提出针对性解决措施。方法：对2012年1月-2014年12月南宁市200例产妇资料进行分析，其中死亡孕产妇57例，孕妇死亡后对其进行分析，统计其死亡的地点与原因，并进行多因素和单因素分析，为降低孕产妇死亡率提供有效措施。结果：统计结果显示，孕妇最为常见的死亡地点为医院，比例为85.96%。最为常见的死亡原因为羊水栓塞（11例），占19.30%。多因素Logistics回归分析结果，孕产妇住院分娩、高危孕产妇住院分娩、产前检查、消毒接生均为孕产妇死亡率影响因素（P0.05）。结论：南宁市孕产妇死亡率水平较低，相关部门应该加强孕产妇保健及高危孕产妇的管理及救治，不断提高危重孕产妇抢救成功率。 　　【关键词】 南宁市； 孕产妇； 死亡率； 影响因素； 干预措施 　　中图分类号 R714 文献标识码 B 文章编号 1674-6805（2015）20-0020-02 　　Analysis of Nanning Maternal Mortality Levels and Influencing Factors/WU Xiao-ying.//Chinese and Foreign Medical Research，2015，13（20）：20-21 　　【Abstract】 Objective：To investigate the maternal mortality rate in Nanning and influencing factors，and propose specific solutions.Method：From January 2012 to December 2014 Multivariate and univariate Nanning 200 cases of women were analyzed， which after the death of their 57 cases of maternal deaths in pregnant women were analyzed statistical location and causes of his death， and analysis， to provide effective measures to reduce maternal mortality.Result：The statistical results showed that the most common place of death for pregnant women to the hospital，the ratio was 85.96%.The most common cause of death was amniotic fluid embolism（11 cases），the proportion of 19.30%.Logistics multivariate regression analysis：maternal hospital delivery，high risk maternal hospital delivery，prenatal examination，maternal mortality were disinfected midwifery factors（P0.05）.Conclusion：The levels of maternal mortality in Nanning is lower，the relevant departments should strengthen maternal health as well as the management of high-risk pregnant women and treatment，and continuously improve the survival rate of critically ill pregnant women. 　　【Key words】 Nanning； Maternal； Mortality； Influencing factors； Intervention 　　First-author’s address：Maternal and Child Hospital of Nanning City，Nanning 530011，China 　　doi：10.14033/j.cnki.cfmr.2015.20.010 　　孕产妇死亡指的是妇女从妊娠开始到妊娠结束之后的42 d内出现死亡，无论妊娠的时间以及部位，包括计划生育手术、内外科原因、异位妊娠及葡萄胎死亡[1