镇安县1998-2007年孕产妇死亡情况分析

An analysis of maternal mortality and related factors in Zhen＇an county in period from 1998 to 2007

目的 通过对镇安县辖区近10年内孕产妇死亡资料的统计分析，寻找有效地预防措施，以降低孕产妇的死亡率。方法 对1998-2007年镇安县孕产妇死亡资料进行回顾性分析。结果 1998-2007年度镇安县孕产妇平均死亡率为60.67/10万，各年度间孕产妇死亡率比较无统计学意义（χ2=9.50，P〉0.05）；死亡原因顺位依次为产后出血，占50.00%，妊娠合并心脏病，占25.00%，妊娠高血压疾病、羊水栓塞、药物过敏各占8.33%；文化程度低（P=0.025）、经济水平差（P=0.048）的孕产妇住院分娩率低。结论 建立健全产科三级服务网，加强基层产科绿色通道建设及对基层产科技术人员的培训，做好孕产期保健服务，普及健康教育相关知识，提高孕产妇自我保健意识等是降低孕产妇死亡的重要措施。

Objective To analyse data of maternal mortality in Zhen＇an county in past 10year period and to find out effective interventions, so as to reduce the maternal mortality rate. Methods The data of maternal mortality in Zhen＇an county in a period from 1998 to 2007 were analysed retrospectively. Results The average maternal mortality rate from 1998-2007 in Zhen＇an county was 60.67/100 000. In maternal mortality rate, there was no significant difference between different years （χ2=9.50, P〉0.05）.The sequences of causes of maternal death were as follows： postpartum hemorrhage（50.00%）, pregnancy associated with heart disease （25%）, hypertensive disorder complicating pregnancy（8.33%）, amniotic fluid embolism（8.33%） and drug allergy （8.33%） in order. The hospital delivery rate among those pregnant women with low educational level and poor economic status was lower （P=0.025〈0.05, P=0.048〈0.05,respectively）. Conclusion Establishing and perfecting tertiary obstetric service web, strengthening construction of obstetric green channel in local hospitals and training of obstetric personnels,doing health care service in pregnancy and puerpural period well, spreading knowledge about health, improving selfhealth awareness of pregnant and parturient women are all important measures to reduce maternal mortality rate.