青岛市14年间137例孕产妇死亡资料分析

Analysis on mortality of 137 pregnant women during 14 years in Qingdao

目的:通过对青岛市辖区内14年孕产妇死亡资料的分析,寻求有效的干预措施,降低孕产妇死亡率。方法:对青岛市1998～2011年孕产妇死亡资料进行回顾性分析,将1998～2004年和2005～2011年死亡孕产妇进行分段分析,在死亡率、主要死因、死亡孕产妇的分布情况及就诊或分娩地点等方面进行比较。结果:青岛市14年平均孕产妇死亡率13.7/10万。前阶段平均孕产妇死亡率为19.7/10万,后阶段平均孕产妇死亡率为8.4/10万,后阶段比前阶段死亡率下降了57.5%。前阶段直接产科原因死亡孕产妇占75.0%,而后阶段直接产科原因死亡占44.4%。高龄、经产妇、低文化程度是孕产妇死亡高危人群。结论:青岛市14年孕产妇死亡率呈逐年下降趋势,提示孕产妇死亡率得到有效的控制,及早采取干预措施能够有效控制孕产妇死亡率。

Objective： To analyze the causes of maternal death and identify effective intervention measures to reduce maternal mor- tality by analysis of mortality data collected during 14 years in Qingdao municipal districts. Methods： The data of 137 dead pregnant womenwere collected anti studied retrospectively from 1998 to 2011. The maternal mortality rate （MMR） , main eauses of maternal death and ma- ternal characteristics were compared between eases dating from 1998 to 2004 and the remaining women died between 2005 anti 201 I. Results： The average MMR was 13.66/100 000. According to different stages, the MMR was 19. 72/100 000 from 1998 -2004 and 8.39/100 000 from 2005 to 2011 respcetiwqy, indicating a downward trend. Obstetrics reasons accounted for 75% in the first 7 years and decreased to 44.4% in the second period. Advanced age, muhipara and low educational level were high risk factors for maternal death. Conclusions： The MMR in Qingdao has declined significantly in recent years, which indicats that maternal mortality is under effective control. The study also demonstrates the effectiveness of intervention measures conducted.