福建省孕产妇死亡原因探讨与对策建议

A Study on Maternity Mortality and the Strategy in Fujian

本文分析１９９０～１９９４年我省孕产妇死亡情况。死亡率从５２．０５／１０万缓降至４０．９８／１０万。但逐年下降不明显。农村与山区的死亡率远较城市为高，死亡妇女未充分享受妇幼保健服务，属不可避免死亡只占１６．６３％。分析死亡因素与死因：妇幼人员的知识与技巧问题占３６．２５％；７０．８３％死于产科直接原因，其中产科出血居第一位。以上反映妇幼保健服务工作中存在薄弱环节，本文针对性地提出了对策建议。

The situation of maternal death(1990-1994) in Fujian was analysed.The MMR declined from 52.05 to 40.98/100000 and was much higher in countryside and mountain area than that in city.The maternal health care for this group was unsatisfactory.Only 16.63% was unavoidable death.In the factors and causes of death,36.25% was lack of knowledge and skills of MCH workers and 70.83% due to direct obstetric cause,of them puerperal hemorrhage ranked first.The result showed that there were many weak links in MCH service.In view of the situation some strategies were suggested.