青海省海东地区某县农村孕产妇死亡相关因素分析

Analysis about Mortality Factors on Pregnant Women in Rural Areas in One Count, Qianghai

目的了解农村孕产妇死亡的相关因素,为制定相应的干预措施提供依据。方法通过收集报表及个案资料,对2002年～2007年某县22例孕产妇死亡相关因素进行分析。结果孕产妇死亡率呈现逐年下降趋势(趋势χ2=6.488,P=0.011),低收入家庭的孕产妇死亡率要远高于相对较高收入的家庭,只有1例进行过系统产前检查,死亡原因中产科出血占31.82%。结论应增加妇幼保健资金的投入,普及孕产期保健知识,改变陈旧的生育观念,实行住院分娩,提高产科质量,防治产后出血。

Objective To understand the relevant factors of maternal mortality in rural areas, and provide a basis to develop appropriate interventions. Methods Through collected reports and case, analyse related factors of 22 case maternal deaths from 2002 to 2007 in one count. Results Maternal mortality rate showed a decreaing trend year by year (Trend χ2=6.488,P=0.011); in low-income families, the maternal mortality rate is far higher than that in the relatively higher income families; only 1 case had accepted systematic prenatal screening; 31.82% of cause of death was obstetric hemorrhage. Conclution We should increase financial input of maternal and child health, universal maternal health care knowledge, change the outdated concept of birth, implement hospital delivery, improve quality of obstetrics, and prevent the postpartum hemorrhage.