2016—2020年铜仁市孕产妇死亡情况分析

Analysis of the Situation about Maternal Mortality in Tongren from 2016 to 2020

目的:对2016—2020年铜仁市孕产妇死亡情况进行描述性分析,找出孕产妇死亡的主要影响因素,为减少孕产妇死亡提供政策建议。方法:对2016—2020年铜仁市死亡的52名孕产妇基本情况、死亡原因、评审延误情况等进行回顾性分析。结果:2016—2020年铜仁市孕产妇死亡率呈逐年下降趋势,由2016年的34.22/10万下降至2020年的11.25/10万。死亡原因由产科直接原因为主转变为以产科间接原因为主,死亡孕产妇年龄主要集中在20~29岁,文化程度以初中及以下为主,孕期保健次数以1~4次为主,死亡地点以区(县)级医院为主,影响孕产妇死亡的因素以区(县)级医疗机构知识技能问题、管理问题为主。结论:加大孕产期保健知识宣传,强化孕产妇健康第一责任人意识,同时提高孕产妇家属对孕期保健重要性的认识;强化基层医务人员知识技能培训,提升基层医疗机构产科医务人员专业技术水平,重视妊娠期和分娩后产科合并症、并发症的早期识别处理;强化医院内部管理,制定多学科多部门联动的危重孕产妇应急救治预案,加大孕产妇应急救治演练,是降低孕产妇死亡的重要措施。

OBJECTIVE A descriptive analysis of the situation of maternal deaths in Tongren from 2016 to 2020 was conductedto find out the main factors affecting maternal deaths and provide policy suggestions for reducing matemal deaths.METHODS A ret-rospective analysis of the 52 basic information,causes of death and review delays in Tongren from 2016 to 2020 was conducted.RESULTS From 2016 to 2020,the maternal mortality rate in Tongren showed a decreasing trend year by year,decreasing from34.22/10^(5)in 2016 to 11.25/10^(5) in 2020.Cause of death by obstetric direct cause to obstetric indirect causes,matemal death mainlyconcentrated in the age of 20-29 years old,education level was given priority to with junior high school and below,pregnancy carewas given priority to with 1~4 times,the place of death was given priority to with district(county)hospital,the factors affectingmaternal death to district(county)level medical institutions knowledge skills,management problems.CONCLUSION It is an importantmeasure to reduce maternal death to increase the publicity of maternal health knowledge,strengthen the consciousness of the firstresponsible person of maternal health and increase the awareness of the importance of maternal health care;strengthen the knowledgeand skill training of the grassroots medical staf,enhance the professional technical level of the obstetric medical staff in primarymedical institutions,pay attention to the early identification and treatment of obstetric complications and complications of hospitalinternal management,formulate the emergency treatment plan of critical matemal,multidisciplinary and multiple departments,and increase the emergency treatment drill of pregnant women.