甘肃省2005～2010年孕产妇死亡产科原因趋势分析

Trend analysis of obstetrical causes of maternal death in Gansu province from 2005 to 2010

目的:分析甘肃省2005～2010年孕产妇死亡的产科原因,为降低甘肃省孕产妇死亡率提供科学依据。方法:对2005～2010年甘肃省孕产妇死亡评审结果进行分析,掌握孕产妇死亡原因及其变化趋势。结果:2005～2010年甘肃省孕产妇死亡率呈下降的趋势,但死亡率依然高于全国平均水平。直接产科原因占74.48%,间接产科原因占25.52%。直接产科原因位于前3位的依次为:胎盘滞留、产后宫缩乏力、羊水栓塞。直接产科原因中胎盘滞留呈下降趋势,产后宫缩乏力和其他胎盘因素呈上升趋势。间接产科原因前3位依次为:妊娠合并心血管疾病、缺铁性贫血妊娠、妊娠合并肝部疾病,近年来,妊娠合并其他系统疾病所占比例有所提高。结论:2005～2010年甘肃省孕产妇死亡率明显下降,但仍高于全国平均水平,需加强产科人员的培训和产科医疗质量的管理。

Objective：To analyze the obstetrical causes of maternal death in Gansu province from 2005 to 2010,provide a scientific basis for reducing the maternal mortality in Gansu. Methods：The assessment results of maternal death in Gansu province from 2005 to 2010 were analyzed,then the causes of maternal death and the change trend were obtained. Results：From 2005 to 2010,the maternal mortality in Gansu province showed a decreasing trend,but it was still higher than the national average level.The proportions of direct obstetrical causes and indirect obstetrical causes were 74.48% and 25.52%,respectively.Among the direct obstetrical causes,the top three causes included placental retention,postpartum uterine inertia and amniotic fluid embolism.The proportion of placental retention showed a decreasing trend,while the proportions of postpartum uterine inertia and amniotic fluid embolism showed a increasing trend.Among the indirect obstetrical causes,the top three causes included pregnancy combined with cardiovascular diseases,iron-deficiency anemia pregnancy,pregnancy combined with liver diseases;in recent years,the proportions of pregnancy combined with diseases of other systems increased. Conclusion：From 2005 to 2010,the maternal mortality decreased in Gansu province,but it is still higher than the national average level.The training of obstetrical professionals and the medical quality of obstetrical department should be enhanced.