乌鲁木齐市2000-2013年孕产妇死亡评审与干预效果评价

Maternal mortality assessment and intervention effect evaluation in Urumchi from 2000 to 2013

目的：总结乌鲁木齐市2000-2013年的孕产妇死亡评审结果,对依据评审结果而制定的干预措施实施效果进行评价,发现问题、提出改进,使该项工作能继续为降低乌鲁木齐市孕产妇死亡率（MMR）而发挥作用。方法：对孕产妇死亡评审资料采用SPSS统计软件分析处理数据。结果：MMR呈逐年下降趋势,与新疆维吾尔自治区相比下降速度稍显迟缓;死因构成无显著性变化,前3位死因依次为产科出血、妊娠合并内科疾病、妊娠期高血压疾病;产科出血所占比例逐阶段下降,直接产科原因占到总死亡人数的65.56%;82.22%为可避免死亡。结论：乌鲁木齐市孕产妇死亡控制效果确切。医疗保健机构人员的知识技能、个人家庭知识技能较低为主要影响因素。今后工作重点继续加强孕产妇的健康教育,加强医疗机构的产科建设和改进服务质量,重点加强在产科出血、羊水栓塞和妊娠合并内科疾病防治方面的能力建设,是有效减少孕产妇死亡的重要手段。

Objective： To summarize the maternal mortality assessment resuhs in Urnmchi from 2000 to 2013, valuate the implementation effect of intervention measures developed based on the assessment results, find problems and suggest improvements, make the work play a role in reducing maternal mortality rate （MMR） in Urumchi. Methods： The maternal mortality review data were analyzed by statistical software SPSS. Results： MMR showed a decreasing trend year by year, compared with the data in Xinjiang, the rate of decline was slight; the proportion of causes of maternal death did not change significantly, the top three causes of maternal death were obstetric hemorrhage, pregnancy combined with internal medicine diseases and hypertensive disorder complicating pregnancy; the proportion of obstetric hemorrhage decreased in stages, the proportion of direct obstetric reasons accounted for 65.56% of the total number of deaths, 82. 22% of them were avoidable deaths. Conclusion： The effect of maternal mortality control in Urumchi is significant. Low knowledge and skills of medical workers and individual family knowledge and skills are main influencing factors. Maternal health education should be strengthened, obstetrical construction of medical institutions should be enhanced and the quality of service should be improved ; capacity building in pre- vention and treatment of obstetric hemorrhage, amniotie fluid embolism and pregnancy combined with internal medicine diseases should be strengthened, which are important measures to reduce maternal mortality effectively.