1986～1996年绍兴市孕产妇死亡原因分析

Causes of maternal death in Shaoxing city from 1986 to 1996

目的 回顾分析绍兴市11 年来孕产妇死亡的死因,提出进一步减少孕产妇死亡的措施。方法 1986 年到1996 年整个地区的分娩汇总报表、孕产妇死亡报告卡及市围产协作组对孕产妇死亡评审的存档资料,把孕产妇死亡以直接产科原因和间接产科原因,按时间先后划分为两个阶段进行分析。结果 孕产妇死亡率由第1 阶段(1986 年1 月～1990 年12 月) 的34 .27/10 万下降到第2 阶段(1991 年1月～1996 年12 月) 的22 .61/10 万,差异呈显著性( U= 2 .62,P< 0.05) ;两个阶段的直接产科原因死亡率比较,差异无显著性( U=1 .34 ,P>0 .05) 。结论 产科出血仍然是孕产妇死亡的最主要原因。在农村基层医院中。

Objective To analyse the causes of maternal death in Shaoxing city from 1986-1996, and put forward a proposal to decrease the mortality. Methods The cases were collected through parturient reports ,maternal mortality reprot cards and evaluated documents in Shaoxing from 1986 to 1996. Analysed direct or indirect obstetric causes in two periods (1986.1-1990.12, 1991.1-1996.12). Results Maternal mortality decreased from 34.27 /100 000 in the first period to 22.61 /100 000 in second period, the difference was significant (U=2.62,P< 0.05 ). The mortality of direct obstetric causes was no significantly different between two periods (U=1.34, P> 0.05 ). Conclusion Obstetric hemorrhage is still the most important cause in the maternal death. In order to decrease maternal mortality,it is essential to prevent complications of obstetric hemorrhage in rural hospitals.