2012—2016年南宁市孕产妇死亡率变化趋势分析及对策

Analysis of maternal mortality trend and counrmeasures in Nanning

目的:探讨影响南宁市孕产妇死亡率的主要因素,提出降低孕产妇死亡率的干预措施及对策。方法:对南宁市2012—2016年孕产妇死亡监测资料进行回顾性分析。结果:2012—2016南宁市平均孕产妇死亡率16.53/10万,低于全国的平均水平,而高于广西的平均水平。南宁市孕产妇死亡中,年龄≥35岁、文化程度初中以下、妊娠次数2次以上及产检次数在4次以下的孕产妇占主要比例。孕产妇羊水栓塞死亡率呈逐年下降的趋势(P<0.05)。结论:2012—2016年南宁市孕产妇死亡率呈波动趋势,应加强宣教,提高孕产妇参与产检的自觉性,并规范对高危孕产妇的识别与管理,以控制孕产妇死亡率。

Objective:To explore the main factors affecting the maternal mortality rate of the household registration population in Nanning,and put forward the intervention measures and countermeasures to reduce the maternal mortality rate.Methods:The data of maternal mortality in Nanning during 2012-2016 years were analyzed.Results:The average maternal mortality rate in Nanning from 2012 to 2016 was 16.53/100,000,which was lower than the national average,but higher than the average level in Guangxi.The majority of maternal deaths in Nanning were observed in more than 35 age,below the junior high school education level,more than 2 times pregnancy and less than 4 times antenatal examination.The mortality of amniotic fluid embolism in pregnant women was decreasing year by year(P<0.05).Conclusion:From 2012 to 2016,the maternal mortality rate in Nanning was fluctuating.We should strengthen the education to improve the self-consciousness of antenatal examination,and standardize the identification and management of high-risk pregnant women in order to control maternal mortality.