|
全国孕产妇死亡监测结果分析 |
| |
全国孕产妇死亡监测协作组
【摘要】 目的 了解我国各地区孕产妇死亡率、死亡原因及影响因素，提出降低孕产妇死亡率的对策与措施。方法 根据全国及各省的人口数进行分层整群抽样，形成覆盖全国1.0亿人口的247个监测点，对监测资料进行分析。结果 监测地区7年内活产总数为8 709 220例，孕产妇死亡率7年平均为77.4/10万，其中城市为45.5/10万，农村为95.4/10万；全国不同地区孕产妇死亡率为26.0/10万～308.0/10万不等。孕产妇死亡原因依次是产科出血、妊高征、妊娠合并心脏病、羊水栓塞、产褥感染、妊娠合并肝脏病。结论 改善母婴生活状况、提高住院分娩率、提高医疗保健人员的知识技能、提高孕产妇保健的系统性和服务质量、加强健康教育，是降低孕产妇死亡率的有效措施。
【关键词】 产妇死亡率 死亡原因
Analysis of National Maternal Mortality Rate Surveillance
Maternal Death Investigation Cooparative Group of China.
DING Hui, ZHANG Lingmei. Beijing Municipal Women Health Institute， Beijing 100006
【Abstract】 Objective To analyze the results of maternal mortality rate (MMR) surveillance in 247 monitoring areas. Methods Based on the demographic characteristics of different areas, stratum sampling method was used, and 247 monitoring points from 30 provinces, autonomous regions and cities covered about 100 million population were selected in China in 1989～1995. Results In the 7 years of monitoring there were 8 709 220 cases of live births with 5 984 cases of maternal deaths in these monitoring points. The average MMR was 77.4/100 000 with 45.5/100 000 in urban areas and 95.4/100 000 in rural areas. There were significant differences of MMR from area to area from 26.0/100 000 to 308.0/100 000. The causes of maternal deaths in succession were obstetric hemorrhage, pregnancy induced hypertension, heart diseases, amniotic fluid embolism, puerperal infection and hepatic diseases, and these 6 causes constituted 81.6% of the total. According to the audit of mortality cases demanded by WHO, the results showed that there was 73.0% avoidable deaths and 27.0% unavoidable deaths. The main problems were: 49.7% among the medical and health care system, chiefly lack of knowledge and skill of the medical personnels; 44.5% of the pregnant women and their family members lack the basic health knowledge. Conclusion To improve the living condition of both[1] [2] 下一页
上一个医学论文： 妊娠期及产褥期静脉血栓12例临床分析
下一个医学论文： 第九届国际妊娠滋养细胞疾病会议简介
|
|
|
|
|
|
|
您现在的位置： 绿色健康网 >> 医学论文 >> 妇产科论文 >> 正文