阜阳市2008～2010年孕产妇死亡分析及建议

Analysis and suggestions of maternal mortality in Fuyang city from 2008 to 2010

目的分析阜阳市2008～2010年孕产妇死亡状况及其影响因素,为有关部门制定孕产妇保健策略提供科学依据。方法根据阜阳市妇幼保健机构上报孕产妇死亡资料,对孕产妇死亡调查结果进行分析。结果阜阳市2008年孕产妇死亡率为31.6/10万,2009年为26.7/10万,2010年为27.9/10万,影响孕产妇死亡的主要原因为直接产科原因,前三位死因分别为产科出血、妊娠期高血压疾病和肺栓塞,只有59.5%的人接受过产前检查,分娩地点在乡镇卫生院的比例高,占38.1%,死亡地点在县区级以上医院比例高,占50%。结论 2008～2010年孕产妇死亡率呈波动下降,加大宣传力度、加强孕产期保健服务及管理、强化乡镇级卫生院产科质量建设和专业技能培训能进一步有效地降低孕产妇死亡率。

Objective To describe the status and the related factors for maternal mortality in Fuyang city from 2008 to 2010,and to provide the scientific evidences for the health care policy.Methods Descriptive method and analysis was used to study the data of maternal mortality.Results The maternal mortality rate was 31.6 per hundred thousand in 2008,26.7 per hundred thousand in 2009,27.9 per hundred thousand in 2010,respectively.The main factor was the direct obstetric causes,and the three main causes of death were obstetric hemorrhage,pregnancy-induced hypertension,and pulmonary embolism.Among 82 participants,antenatal examination rate was 59.5%,38.1% conducted delivery was in health clinics in towns and townships,50% died in above-the-county level hospitals.Conclusion The maternal mortality rate declines.In order to effectively decrease the maternal mortality rate in Fuyang city,propagandia should be strengthened,maternal care and management should be promoted,and the obstetric quality of health clinics in towns and townships and the professional skill training should be intensified.