摘要
目的 :通过对宁夏孕产妇死亡资料分析 ,阐述宁夏山区、川区孕产妇死亡的基本特点与发展趋势 ,为进一步降低孕产妇死亡率提供科学依据。方法 :对 1996～ 2 0 0 2年宁夏 9个监测县孕产妇死亡情况进行统计分析。结果 :7年间宁夏孕产妇死亡率下降幅度很大 ,从 1996年 130 97 10万下降到 2 0 0 2年 72 0 1 10万 ,平均每年下降 7 50 %。山区下降更加明显 ;产科出血居孕产妇死因首位。山区产科出血占 6 0 % ,孕产妇死亡 76 6 7%发生在家中或路途。川区孕产妇死因主要为羊水栓塞、妊高征、产科出血 ,孕产妇死亡有 71 11%发生在医院。结论 :进一步降低孕产妇死亡率的重点仍在山区 ,应加强山区孕产妇系统管理 ,提高住院分娩率 。
Objective: Through the analysis on maternal mortality data in 9 cities and counties under surveillance in Ningxia in the years 1996-2002, this paper re vealed the basic points and developing trend of maternal mortality both in mount ainous areas and plain areas in Ningxia to provide the scientific evidence for f urther reducing the maternal mortality rate(MMR). Methods: Statist ical analysis w as applied for calculating MMR and related data in 9 surveillance cities and cou nties of Ningxia in 1996-2002. Results: The MMR in Ningxia had red uced considera bly during the past 7 years, from 130.97/100 thousand in 1996 to 72.01/100 thous and in 2002, the average MMR reduced 7.5% annually, reduction showed more promin ent in mountainons areas. Prenatal and postpartum hemorrhage was the top cause o f MM. The obstetric hemorrhage-induced death accounted for 60% of whole parturie nts died in perinatal period in mountainous areas, among them 76.67% of MM happ ened at home or on the way to hospital. Poor quality of prenatal health care was closely related to high MMR. The main reasons causing MM were amniotic embolism , high-risk pregnancy and puerperal hemorrhage, and accounted for 64.44% of whol e parterients died in perinatal period in plain areas, among them 71.11% of MM h appened at hospitals. Conclusion: Major task of reducing MMR shoul d still lay on parturients living in mountainous areas; the maternal systematic management of mountainous areas should be strengthened, hospitalized delivery rate should be r aised and more attention should be paid to the prevention and treatment for the prenatal and postpartum hemorrhage of home delivery parturients.
出处
《宁夏医学院学报》
2003年第6期410-412,共3页
Journal of Ningxia Medical College
关键词
宁夏
孕产妇
死亡率
死亡原因
产前保健
pregnant women
parturients
mortality
cause of death
health care
