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目的了解大理白族自治州孕产妇死亡趋势及其影响因素,为控制孕产妇死亡率提供相关科学依据。方法回顾性分析大理州2006-2015年死亡孕产妇的相关资料。结果大理州孕产妇死亡率由2006年的56.3/10万下降至2015年的19.8/10万。影响孕产妇死亡的前3位因素分别为产科出血(39.6%)、妊娠合并内外科疾病(19.5%)和羊水栓塞(16.2%)。经Logistic回归分析发现,可避免死亡的危险因素为初检孕周较晚、产科出血,保护因素为家庭经济条件较好,其OR值分别为3.078、2.630、0.610。结论 2006-2015年大理州孕产妇死亡率呈下降趋势,孕产妇死亡主要受初检孕周、是否为产科出血、家庭经济条件的影响,提示通过进一步促进对边疆少数民族地区妇女的妇幼健康服务均等化,加强孕产期保健及高危筛查和管理,提高产科服务能力和服务质量,可以有效避免或减少孕产妇死亡发生。
Objective To understand the trend of maternal mortality and its influencing factors in Dali Bai Autonomous Prefecture and provide relevant scientific evidence for controlling maternal mortality. Methods Retrospectively analyze the data of maternal deaths from 2006 to 2015 in Dali Prefecture. Results The maternal mortality rate in Dali Prefecture dropped from 56.3 / 100 000 in 2006 to 19.8 / 100 000 in 2015. The first three factors affecting maternal mortality were obstetric hemorrhage (39.6%), pregnancy and surgical diseases (19.5%) and amniotic fluid embolism (16.2%). Logistic regression analysis showed that the risk factors of avoidable death were late gestational age, obstetric bleeding and protective factors for the family economy, with OR values of 3.078, 2.630 and 0.610 respectively. Conclusion The maternal mortality rate in Dali prefecture has a decreasing trend from 2006 to 2015. The maternal mortality is mainly affected by the first trimester gestational week, whether it is the result of obstetric hemorrhage and family economic conditions, suggesting that by further promoting the maternal and child health services for women in the minority ethnic minority areas in the border areas Equalization, strengthening of maternal health care and high-risk screening and management, improve obstetric services and quality of service, can effectively prevent or reduce maternal deaths.