深圳松岗孕产妇死亡和新生儿破伤风发病调查

Analysis of mortality rate of pregnant women and neonatal tetanus incidence in Songgang District of Shenzhen City

目的分析深圳市松岗街道孕产妇死亡率和新生儿破伤风发病率情况,为松岗街道进一步做好妇幼保健工作提供参考。方法用回顾性和PPS方法调查,分析1999～2006年松岗街道孕产妇死亡率、新生儿破伤风发病率和流动人口住院分娩率情况。结果8年中,共有孕产妇16248人,其中流动孕产妇占74.07%;孕产妇死亡率逐年下降(P<0.05);新生儿破伤风发病率逐年下降(P<0.05);流动人口孕产妇住院分娩占总分娩比例逐年上升(P<0.05)。结论1999～2006年松岗街道的孕产妇死亡率和新生儿破伤风发病率逐年下降,地下接生是导致孕产妇死亡和新生儿破伤风的主要因素,仍需加大对流动孕产妇健康教育力度和黑诊所的监管力度,坚决执行贫困孕产妇救助计划。

Objective To analyzed the mortality rate of pregnant and lying - in women and the incidence of tetanus in the newborns and offer scientific basis for formulating effective control measures, Methods The data concerning mortality rate of lying -in women, the incidence of tetanus in the newborns and the hospital delivery rate of mobile population in Songgang district Shenzhen City were retrospectively analyzed by using probability proportional sampling （PPS）. Results There were 16 248 pregnant and lying- in women from 1999 to 2006 and 74.07 % of them were mobile population. The mortality rate of lying- in women and and incidence of tetanus in the newborns were decreased year after year （ P 〈 0.05）. Hospital delivery rate of lying - in women in mobile population was increased year by year （ P 〈 0.05）. Conclusion Delivery in private clinics and at home are the main causes leading to the death of lying - in women and he occurrence of tetanus in the newborns, Thus emphasis be put on the monitoring and management of private clinics and expand health education of lying- in women in mobile population, while resolutely implement the poverty - relief plan to the those needed.