黑河市2004-2007年孕产妇死亡情况分析

An analysis of maternal mortality rate and related factors in Heihe city from 2004 to 2007

目的通过孕产妇死亡资料分析，寻求有效干预措施，降低孕产妇死亡率。方法对黑河市2004-2007年死亡孕产妇资料进行回顾性分析。结果黑河市2004-2007年度活产数为44906人，孕产妇死亡22人，平均死亡率为48.99／10万，各年度间孕产妇死亡率无统计学意义（X^2=1.66，P〉0.05）；2005-2007年度4个“降消”项目县与2个非“降消”项目县孕产妇死亡17人，平均死亡率为50.74／10万，项目县孕产妇死亡率低于非项目县（X^2=3.65，P〈0.05）；文化程度低（P=0.023〈0.05）、经济水平差（P=0.043〈0.05）的孕产妇住院分娩率低。结论建立健全产科急诊救治网络，加强对产科技术人员管理培训，做好孕产期保健服务，加强健康教育，提高孕产妇自我保健意识，推广“降消”项目经验是降低孕产妇死亡的重要措施。

Objective To identify risk factors of maternal mortality and to provide a scientific basis for intervention, so as to reduce the maternal mortality rate. Methods A retrospective study was conducted to analyze data from maternal death audit of Heihe city from 2004 to 2007. Results The total number of live birth was 44906.22 pergnant or partunient women died among 44906 parturients and the average maternal mortality rate from 2004 to 2007 in Heihe city was 48.99/100000. In maternal mortality rate in each year, there was mo significant difference （X^2 =1.66, P 〉 0.05 ）. From 2005-2007,17 pregnant or parturient women died in 4 project counties and 2 nonproject counties, and average maternal mortality rate was 50.74/100000, that in project counties was lower than that in non-project counties （X^2=3.65, P 〈 0.05 ）. The hospital delivery rate of those pregnant women with low education level and poor economic status was low （ P = 0. 023 〈 0.05,P = 0.043 〈 0.05, respectively）. Conclusion Establishing the first aid web for those severe pregnant and parturient-women, enhancing training of health staff, intensifying health education, raise self-protection awareness of pregnant and parturient women are all the key measures to reduce maternal mortality rate in Heihe city.