2008~2013年攀枝花市31例孕产妇死亡原因分析

Analysis on causes of maternal death of 31 cases in Panzhihua city during 2008 ~ 2013

目的总结孕产妇死亡救治中存在的问题。方法回顾分析2008~2013年攀枝花市31例孕产妇死亡原因。结果 2008~2013年孕产妇死亡率呈逐年下降趋势,2013年孕产妇死亡率明显低于2008年孕产妇死亡率（P〈0.05）。31例死亡孕产妇中直接产科原因死亡26例（83.9%）,其中产科出血18例（占直接产科原因的69.2%）,间接产科原因死亡5例（16.1%）。产前检查次数〈5次的孕产妇死亡率明显高于产前检查≥5次的孕妇（P〈0.05）。在省市级医院死亡的孕产妇数多于县级医院、乡镇卫生院及其他地点（P〈0.05）。结论应加强产前检查及高危妊娠管理,同时进一步加强全市孕产妇急救网络和急救绿色通道建设,建立危重孕产妇转诊救治体系,充分发挥综合性医院的救治优势。

Objective To analyze causes of maternal death and summarize the problems in treatment process. Methods The causes of maternal death of 31 cases in Panzhihua city during 2008 ~ 2013 were retrospectively analyzed. Results Maternal mortality was downward trending from 2008 to 2013. Maternal mortality of 2013 was lower than that of 2008（ P 〈 0. 05）. 26 cases were direct obstetric causes accounting for 83. 9% and 5 cases were indirect obstetric cause accounting for 16. 1%. 18 cases were obstetric hemorrhage accounting for 69. 2% of direct obstetric causes. The maternal mortality of women with less than 5 times of antenatal examination was higher than women with over 5 times of antenatal examination（ P 〈 0. 05）. The amount of maternal death in the provincial and municipal hospitals was more than that in the county and township hospitals（ P 〈 0. 05）. Conclusion It’s important to strengthen antenatal examination and management of high- risk pregnancy,to reinforce constructions of maternal emergency network and emergency green channel,to establish referral treatment system in order to give full play to the advantages of comprehensive hospital.