大同市2007～2010年孕产妇死亡监测分析及干预措施

Analysis on monitoring of maternal death and interventional measures in Datong city from 2007 to 2010

目的:根据孕产妇死亡评审结果分析大同市孕产妇死亡率及孕产妇死亡的死因构成及其影响死亡的主要因素,提出针对性的干预措施,有效降低孕产妇死亡率。方法:收集整理2007～2010年山西省大同市孕产妇死亡资料共15例,进行回顾性分析及统计。结果:2007～2010年大同市孕产妇死亡率分别为16.99/10万、16.08/10万、25.55/10万、0/10万,其中2010年没有死亡的孕产妇,4年孕产妇死亡率平均为14.59/10万,孕产妇死亡的主要死亡原因的前4位分别为:羊水栓塞、产后出血、其他疾病、先心病。影响死亡的因素,以个人家庭及居民团体知识技能、资源不足,以及县乡两级医疗保健系统知识技能、资源、管理系统问题为主。结论:降低孕产妇死亡率需要社会各部门密切配合,进一步提高孕产妇保健意识和产科服务质量,加大健康教育宣传力度,提高各级医务人员助产技术和急救水平,完善医疗救助体系是降低孕产妇死亡的关键措施。

Objective：To analyze the maternal mortality,proportion of causes and the main effect factors of maternal death in Datong city according to the evaluation results of maternal death,put forward corresponding interventional measures,reduce maternal mortality effectively. Methods：The data of 15 dead pregnant women in Datong city of Shanxi province were collected and sorted from 2007 to 2010,then a retrospective statistical analysis was carried out. Results：The maternal mortalities of pregnant women in Datong city from 2007 to 2010 were 16.99/100 000,16.08/100 000,25.55/100 000,and 0/100 000,respectively,no maternal death occurred in 2010,the average maternal mortality was 14.59/100 000 from 2007 to 2010;the top four main causes of maternal death were amniotic fluid embolism,postpartum hemorrhage,other diseases,and congenital heart disease.The main effect factors of maternal death included deficiencies of knowledge,skills,and resources of individuals,families,and resident groups,the problems about knowledge,skills,resources,and management systems of medical health institutions at county and village levels. Conclusion：To reduce maternal mortality needs close cooperation among different departments in society,the vital measures to reduce maternal mortality include further improving health care consciousness of pregnant women and the quality of obstetrical services,strengthening the publicity of health education,increasing the levels of midwifery techniques and first aid of medical workers at all levels,and perfecting medical assistance system.