2011—2018年乌鲁木齐市孕产妇死亡与孕产期保健服务相关性研究

Correlation of maternal deaths with maternal health care services in Urumqi,2011-2018

目的探讨乌鲁木齐市2011—2018年孕产妇死亡原因及影响因素,为进一步降低孕产妇死亡率提供科学依据。方法对乌鲁木齐市2011—2018年孕产妇死亡情况、主要死因和孕产期保健服务情况进行描述,并分析影响因素。结果 2011—2018年乌鲁木齐市死亡孕产妇39例,孕产妇死亡率从2011年15.9/10万下降到2018年6.6/10万,死亡原因前三位分别是产科出血、妊娠合并症、羊水栓塞。孕产妇死亡率与住院分娩率和产前检查率呈负相关,住院分娩率是孕产妇死亡率的主要影响因素。结论要进一步降低孕产妇死亡率需加强孕产妇高危预警和分级管理、提高基层人员技术水平、保证妇幼保健服务质量。

Objective To explore the causes and influencing factors of maternal deaths in Urumqi city from 2011 to 2018,and to provide a scientific basis for further declining the maternal mortality rate.Methods We described the maternal mortality rate,major causes of deaths and measures for maternal health care services in Urumqi city from 2011 to 2018,and then analyzed the influencing factors.Results There were 39 cases of maternal death in Urumqi city during 2011-2018,and the maternal mortality rate decreased from 15.9/100,000 in 2011 to 6.6/100,000 in 2018.The top three causes of maternal deaths were obstetric hemorrhage,pregnancy complication and amniotic fluid embolism.The maternal mortality rate was negatively correlated with the rates of hospital delivery and prenatal care,and the hospital delivery rate was the main factor influencing the maternal mortality rate.Conclusions Some comprehensive measures should be taken to further decrease the maternal mortality rate,including strengthening early warning of high-risk pregnancy and grading management,improving the technical levels of grass-roots medical staff and ensuring the quality of maternal and child health care services.