河南省1997年孕产妇死亡监测报告

An Analysis of Surveillance on Pregnant and Lying - in Women Death in Henan Province 1997

河南省17个孕产妇死亡监测网点1997年监测结果显示:全省平均孕产妇死亡率为76.90/10万,较1990年下降23.2%,较1996年下降了4.02%;农村该指标无明显下降,城市较1990年下降了64.17%。引起孕产妇死亡的死因顺位依次为:产科出血、妊高征、妊娠合并心脏病、产褥感染、妊娠合并肝病。与1990年比较,产科出血引起的死亡率和死因构成比均明显下降,而妊高征引起的死亡上升为第二位。提示:大力宣传孕期保健知识,提倡住院分娩,加强围产期管理,尤其是高危妊娠的管理,加强适宜技术的培训,提高基层妇幼保健人员业务素质及群众自我保健意识,将工作重点放在农村,是降低孕产妇死亡率的重要措施。

The data obtained from 17 selected points of Henan province showed that the mean rate ol pregnant and lying-in women in 1997 was 76. 90 per 100000, which decreased by 23. 22% compared with the result in 1990 and decreased by 4. 02% compared with the result in 1996. The mean rate of pregnant and lying - m women in rural area decreased not obviously, while the mean rate of pregnant and lying - in women in urban decreased by 64.17% compared with result in 1990. In order of the causes of pregnant and lying -in women death were as follows; hemorrhage, pregnancy induced hypertension, puerperal infections and etc. compared with 1990, the mortality rate and constitute ratio caused by hemorrhage were decreased obviously, while the deaths caused by pre -eclampsia and eclampsia were second. The authors suggested that the Perintal'health care,especially in high risk pregnancy, the hospitalizationdelivery, good professional skills of primary obsterics training course, in medical and health work, put the stress on the rural areas and etc should be strengthened.