2009-2015年合肥市孕产妇死亡分析及对策

Analysis of maternal mortality in Hefei during 2009-2015

目的回顾性分析合肥市2009-2015年孕产妇死亡资料,了解死亡构成,为控制孕产妇死亡提供有效的干预措施。方法收集合肥市2009-2015年孕产妇死亡资料,对相关信息进行回顾性分析。结果 7年来孕产妇死亡共40例,平均死亡率10.17/10万,前3位死因依次为产科出血、羊水栓塞、肺栓塞;52.5%的孕产妇文化程度为初中及以下,40%的职业为家务或无业;有34名孕产妇接受过产前检查,其中35.3%的孕产妇产前检查次数<5次;从死亡评审结果看,可避免死亡占67.65%。结论进一步提高医疗保健机构产科综合服务能力和技术水平,加强围产保健宣教,是降低孕产妇死亡的关键。

Objective To analysis the data of maternal death in Hefei from 2009 to 2015,to know the cause of death and provide effective intervention measures in order to control maternal death. Methods The related information was retrospectively analyzed by collecting the data of maternal death from 2009 to 2015 in Hefei. Results During the seven years,40 pregnant women died and the average maternal mortality was 10. 17 in hundred thousand. The top three causes of death were obstetric hemorrhage,amniotic fluid embolism and pulmonary embolism. 52. 5% of the pregnant women were junior middle school and the following,40% of them were housewives or unemployed; 34 pregnant women had received prenatal examination,and 35. 3% of them received prenatal examination less than five times; 67. 65% maternal deaths of the cases had been avoided. Conclusion The comprehensive service ability of obstetric should be further improved,and perinatal care and health education should be strengthened,these measures are the keys to reducing maternal mortality.