摘要
目的探讨海口市孕产妇死亡原因,分析孕产妇死亡评审情况,为制定有效降低孕产妇死亡率的政策提供理论依据。方法收集海口市2010—2020年孕产妇死亡监测报告和按十二格表法评审孕产妇死亡病例资料,分析海口市孕产妇死亡原因分布、死亡评审结论和影响死亡的相关因素。结果2010—2020年海口市本地户籍活产数共为232088例,死亡孕产妇31例,死亡孕产妇年龄17~43岁,平均(30.71±5.82)岁。死亡孕产妇年龄25~43岁18例(占58.1%)。高中或中专以下学历22例(占71.0%)。家庭人均年收入<8000.0元22例(占71.0%)。孕期保健情况平均(5.12±3.47)次;前三位死亡原因分别为妊娠合并心血管疾病8例(占25.81%),产科出血5例(占16.13%),妊娠合并肝脏疾病3例(占9.68%);对比2010—2015年与2016—2020年两个时期的孕产妇死亡率和评审结果,两时期孕产妇死亡率差异均无统计学意义(P>0.05);按十二格表法评审孕产妇死亡病例,20例可避免死亡,10例不可避免死亡,1例未评审。可避免死亡的前三位影响因素包括医疗保健机构的环节知识技能、个人和家庭以及居民团体的环节知识技能、医疗保健机构环节管理。结论高龄、低文化水平和低家庭收入孕妇为海口市孕产妇死亡的主要原因。高危孕产妇预防工作应关口前移至婚前、孕前保健阶段,另是加强医疗机构人员医疗保健专业技术水平,以有效降低孕产妇死亡率。
Objective To explore the causes of maternal deaths in Haikou City,analyze the review of maternal deaths,and we provide a theoretical basis for effective reduction of maternal mortality.Methods The monitoring reports of maternal deaths in Haikou City from 2010 to 2020 were collected,and the data of maternal death cases were reviewed according to the twelve grid method,and the distribution of maternal deaths in Haikou City,the conclusions of death review and related factors affecting death were analyzed.Results From 2010 to 2020,the number of live births with local household registration in Haikou City was 232088,31 cases of pregnant and lying-in women died with age of 17-43 years old,and the average age of pregnant and lying-in women was(30.71±5.82)years old.And 18 cases(58.1%)of pregnant women who died were 25-43 years old.There were 22 cases(71.0%)with a high school or technical secondary school education.The family's per capita annual income was less than 8000.0 yuan in 22 cases(71.0%).The average health care during pregnancy was(5.12±3.47)times;the top three causes of death were 8 cases of pregnancy complicated with cardiovascular disease(accounting for 25.81%),5 cases of obstetric hemorrhage(accounting for 16.13%),and 3 cases of pregnancy complicated with liver disease(accounting for 9.68%);Comparing the maternal mortality rates and review results between 2010-2015 and 2016-2020,there was no statistically significant difference in maternal mortality between the two periods(P>0.05);review according to the twelve grid method of the maternal deaths,20 were avoidable deaths,10 were unavoidable deaths,and 1 was not reviewed.The top three influencing factors of avoidable death included the link knowledge and skills of medical and health care institutions,the link knowledge and skills of individuals,families and resident groups,and the link management of medical and health care institutions.Conclusions Pregnant women with advanced age,low education level and low family income are the main causes of maternal death
作者
王景妹
刘燊
王晓暖
韩奔宇
WANG Jing-mei;LIU Shen;WANG Xiao-nuan;HAN Ben-yu(Haikou Maternal and Child Health Hospital,Haikou,Hainan 570203,China)
出处
《中国热带医学》
CAS
2021年第11期1052-1055,共4页
China Tropical Medicine
基金
海南省医药卫生科研项目(No.20A200185)。
关键词
孕产妇
死亡率
十二格表法
死亡评审
Pregnant and lying-in women
mortality
twelve grid method
death assessment
