赣州市2005～2008年孕产妇死亡原因调查分析

Analysis of Maternal Mortality in Ganzhou City from 2005 to 2008

目的了解近年来赣州市孕产妇死亡的主要原因,为进一步降低孕产妇死亡率提供依据。方法对赣州市2005～2008年113例孕产妇的死亡原因作调查分析。结果2005～2008年,各年度孕产妇死亡率依次是35.04/10万、30.00/10万、26.27/10万、20.36/10万;导致死亡的三大主要原因是产科出血(占35.40%)、羊水栓塞(占23.89%)、妊娠期高血压疾病(占13.27%);97.3%的死亡病例发生在农村;77.9%死亡病人文化程度为初中及以下。结论导致孕产妇死亡的主要原因是产科出血、羊水栓塞、妊娠期高血压疾病;受教育程度低,居住环境偏僻,基层产科技术弱是影响赣州市孕产妇死亡的主要因素。

Objective To investigate the cause and the influencing factors of pregnant and parturient women＇s death in Ganzhou. Methods The maternal mortalities in 11 counties and prefectures of Ganzhou were monitored continuously with dynamic method. Results A total of 113 pregnant and parturient women died in their perilabor and delivery period in Ganzhou from 2005 to 2008. The annual maternal mortality rates were 35.04/100000, 30.00/100000, 26.27/100000, 20.36/100000. Obstetric hemorrhage, amnioticfluid embolism, pregnancy-induced hypertension were the main causes which resulted in maternal death. 97.3% of the fatal cases happened in countryside, of which 77.9% of the patients were lowly educated. Conclusion The main causes that induced maternal death were obstetric hemorrhage, amnioticfluid embolism and pregnancy-induced hypertension. Education level, living environment, socioeconomic condition, suboptimal technique of the village hospitals, health care consciousness of pregnancy, and low rate of hospital-delivery could affect the maternal mortality.