湖南省2015年度孕产妇死亡情况及死因分析

Status of maternal death and its death causes in Hunan Province,2015

目的分析2015年湖南省孕产妇死亡率和死因情况。方法采用回顾性分析的方法,对湖南省2015年孕产妇死因及相关因素进行分析。结果 2015年湖南省孕产妇死亡率14.21/10万,直接和间接产科因素各占50.0%。死因居于前5位分别为产科出血、妊娠合并心脏疾病、妊娠合并神经系统疾病、妊娠期高血压疾病、羊水栓塞。结论湖南省孕产妇死亡率处于较低的水平,加强产科出血、妊娠高血压等死亡病因的管理,规范流动孕产妇、计划外孕产妇、高龄孕产妇的系统保健,是减少孕产妇死亡的重要因素。

Objective To analyze the maternal mortality rate and the causes of deaths in Hunan Province in 2015. Methods Retrospective analysis method was used to analyze the causes of deaths and related factors in pregnant women in Hunan Province in 2015. Results The maternal mortality rate in Hunan Province in 2015 was 14.21/100,000. Direct and indirect obstetric causes acounted for 50% and 50% respectively. The top 5 causes of maternal deaths were obstetric hemorrhage, pregnancy complicated with heart disease, pregnancy complicated with nervous system diseases, pregnancy-induced hypertension and amniotic embolism. Conclusions The maternal mortality rate in Hunan Province in 2015 is at a low level. Strengthening the management of obstetric hemorrhage, pregnancy-induced hypertension and other causes of death and regulating the systematic health care of migrant pregnant women, unplanned pregnant women and middle-aged gravida are the important factors for reducing maternal mortality.