莱芜市2013-2017年孕产妇死亡监测结果分析

Analysis of monitoring results of maternal deaths from 2013 to 2017 in Laiwu city

目的:通过对莱芜市2013-2017年孕产妇死亡监测结果分析,掌握莱芜市户籍孕产妇死亡变化趋势、死亡原因及影响因素,有针对性地提出干预措施,降低孕产妇死亡率。方法:对莱芜市2013-2017年孕产妇死亡监测资料进行分析。结果:莱芜市5年间孕产妇死亡13例,孕产妇死亡率23.18/10万;直接产科死因8例(61.5%),间接产科死因5例(38.5%);孕产妇死亡原因前3位依次为产科出血4例(30.8%)、羊水栓塞3例(23.1%)、妊娠合并肝病2例(15.4%)。结论:莱芜市在过去5年间,孕产妇死亡率得到了很好控制,但也面临严峻形势。因此,需进一步完善三级妇幼保健网络,开展分级诊疗,提高孕产妇系统管理和高危妊娠管理质量;加强产科能力建设,完善急危重症孕产妇转运网络,畅通急救绿色通道,提高救治水平。

Objective:Based on the analysis of monitoring results of maternal deaths from 2013 to 2017 in Laiwu city,this paper aims to master the trend,cause and influencing factors of maternal deaths in Laiwu and propose targeted interventions to reduce maternal mortality.Methods:The monitoring data of maternal mortality in Laiwu from 2013 to 2017 were analyzed.Results:There were 13 maternal deaths in Laiwu in five years,and the maternal mortality rate was 23.18/100 000.There were 8 direct obstetric causes of death,accounting for 61.5%,and 5 indirect causes of death,accounting for 38.5%.The top 3 causes of maternal mortality were 4 cases of obstetric hemorrhage(30.8%),3 cases of amniotic embolism(23.1%),and 2 cases of gestational complicated liver disease(15.4%).Conclusion:The maternal mortality rate has been well controlled in Laiwu over the past five years,but it also faces a serious situation.Therefore,it is necessary to further improve the three-level maternal and child health care network,carry out graded diagnosis and treatment,and improve the quality of maternal system management and high-risk pregnancy management.Furthermore,it also important to strengthen capacity building in obstetrics,improve the transport network for critically ill pregnant women and ensure that green channels for first aid are accessible.