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[目的]了解2007年我国“降消”项目地区孕产妇死亡发生的主要特征。[方法]利用2007年全国22个省份和新疆生产建设兵团共1000个“降消”项目县相关部门的统计数据与孕产妇死亡人群监测数据对其流行病特征进行分析。[结果]2007年1000个项目县孕产妇死亡1682例,其中64.6%居住山区,60.1%来自国家级贫困县,63.7%家庭人均年收入﹤1000元;20.7%的死亡发生在产前,79.3%在产后,产后12h占59.0%;25.6%在家分娩,21.7%的分娩由非医务人员接生,26.7%未接受过产前保健。[结论]项目地区死亡孕产妇多为贫困人群,产后12h是死亡发生的危险时期,家中分娩和非专业人员接生是山区孕产妇死亡的最危险因素。
[Objective] To understand the main features of maternal death in China in 2007. [Method] The epidemiological characteristics of the epidemic were analyzed by using the statistics of relevant departments of 1000 counties in “22 provinces and Xinjiang Production and Construction Corps” in 2007 and the monitoring data of maternal deaths. [Results] 1682 maternal deaths occurred in 1000 project counties in 2007, of which 64.6% lived in mountainous areas, 60.1% came from state-level poverty-stricken counties and 63.7% of households had annual average incomes of less than 1,000 yuan. 20.7% of deaths occurred in prenatal period, 79.3% In postnatal period, postpartum 12h accounted for 59.0%; 25.6% delivered at home, 21.7% delivered by non-medical staff, 26.7% did not receive prenatal care. [Conclusion] Most of the pregnant women died in the project area were poor. 12h postpartum was the dangerous period of death. The birth and non-professional birth attendance were the most risk factors of maternal mortality in mountain area.