孕产妇死亡的高危社会性因素研究分析

Analysis about the High-risk Social Factors Affecting Maternal Mortality

目的研究可能影响孕产妇死亡的社会性因素,以便加强孕产妇的管理,从而降低其死亡风险。方法以48例死亡孕产妇作为观察组,按照1∶3配对选择目前怀孕的孕妇作为对照组,调查两组的社会因素分布情况,采用卡方检验方法检出在两组中分布中具有统计学意义的社会性因素。结果孕妇年龄、孕妇或其丈夫的文化程度、家庭人均收入、孕期建卡时间、孕期检查次数、户口性质、分娩机构、计划生育、交通状况、孕期保健知识了解程度等10个社会性因素的影响可能增加孕产妇死亡的风险。结论加强筛选高危社会性因素,有针对性地加强此类高危孕产妇的管理,有助于降低孕产妇死亡的发生。

Objectives To study the social factors that may affect maternal deaths in order to strengthen management of the pregnant and reduce their risk of death.Methods 48 cases of maternal mortality in accordance with the 1∶3 pairing were investigated.A chi-square testing method was used to find out the difference of social factors distributed between the two groups.Results Those 10 factors,maternal age,pregnant women or her husband＇s education level,family income,caring time,times of checks during pregnancy,the nature of residence registry,delivery agencies,family planning,traffic conditions,prenatal caring knowledge,influence maternal death.Conclusions Strengthening to administer the pregnant women with high risks social factors and tailored management can reduce maternal mortality.