卫生Ⅷ项目对孕产妇死亡率和死亡原因的影响

Impact of Health Ⅷ Project on Maternal Death

目的评价卫生Ⅷ项目对项目地区孕产妇死亡的影响。方法项目县历年上报的孕产妇死亡数及死亡报告卡,描述分析孕产妇死亡模式的变化。结果1998—2005年间,项目县孕产妇死亡率由125.20/10万下降至70.24/10万,下降幅度高于同期全国农村平均水平。死于医院的孕产妇比例逐渐上升;晚期产后出血和胎盘滞留的死亡率逐渐降低。结论卫生Ⅷ项目的实施显著降低了项目地区的孕产妇死亡率,提高了项目地区孕产妇的健康水平。

OBJECTIVE To evaluate the impact of Health Ⅷ Project on the maternal death in Part A Project Counties. METHODES Routinely reported data of maternal mortality and mortal death certificates were used for the present analysis. RESULTS Maternal Mortality Rate of all Part A Project Counties dropped from 125.20/100 000 in 1998 to 70.24/100 000 in 2005, with a more rapid decreasing than that of national countryside＇s average level. Among all reported maternal deaths, proportion of those died at hospital was increasing, and proportion of those died from postpartum hemorrhage and placental retention was decreasing. CONCLUSIONS Implementation of Health Ⅷ Project accelerates the decreasing of maternal mortality rate. Health of maternity was greatly improved in project counties.