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目的:对孕产妇死亡情况进行统计分析,以利于降低孕产妇死亡率,提高妇幼保健工作质量。方法:对该院1982～2011年间死亡孕产妇43例的临床资料进行回顾性统计分析。结果:孕产妇平均死亡率是20.56/10万。每10年为1个时间段的孕产妇平均死亡率分别为27.44/10万、24.86/10万和8.60/10万,差别有统计学意义(χ2=7.38,P<0.05);孕产妇死亡中1年4个季度的平均死亡率分别是24.37/10万、32.35/10万、9.73/10万、14.36/10万,差别有统计学意义(χ2=7.98,P<0.05);农村孕产妇死亡36例,包括非本地流动人口农村孕产妇死亡的4例,城市7例;导致孕产妇死亡的原因主要是产科出血17例,产后出血死亡发生率1.32%与产后出血死亡平均发生率2%差别有统计学意义(u=1.74,P<0.05);妊娠期高血压疾病13例,内科合并症6例,羊水栓塞5例,其他2例。结论:①孕产妇死亡率近10年较前20年下降高于2/3;②孕产妇要科学合理地选择孕期,以保证孕产妇的生命健康;③新农合医疗制度的实施使农村孕产妇死亡率下降约2/3;尽快把流动人口的就医、医保纳入基本公共服务体系,以降低流动人口孕产妇的死亡;④医疗技术水平与孕产妇保健意识不断提高,使产后出血死亡率等不断下降;⑤利用先进的医疗IB方案降低孕产妇死亡率。
Objective: To analyze the maternal mortality in order to reduce the maternal mortality rate and improve the quality of MCH work. Methods: The clinical data of 43 pregnant women who died in the hospital from 1982 to 2011 were retrospectively analyzed. Results: The average maternal mortality rate was 20.56 / 100000. The average maternal mortality rate was 27.44 / lakh, 24.86 / lakh and 8.60 / lakh respectively, with a significant difference between the two groups (χ2 = 7.38, P <0.05) The average death rates in 4 quarters of one year were 24.37 / 100000, 32.35 / 100000, 9.73 / 100000 and 14.36 / 100000 respectively, with statistical significance (χ2 = 7.98, P <0.05) 36 cases, including non-local floating population in rural maternal death in 4 cases, 7 cases in urban areas; lead maternal mortality is mainly due to obstetric hemorrhage in 17 cases, postpartum hemorrhage death rate of 1.32% and postpartum hemorrhage death rate of 2% average incidence difference (U = 1.74, P <0.05); 13 cases of hypertensive disorders during pregnancy, 6 cases of medical complications, 5 cases of amniotic fluid embolism, the other 2 cases. Conclusions: ① The maternal mortality rate dropped by more than 2/3 from the previous 20 years in the past 10 years; ②The pregnant women should choose the pregnancy rationally and reasonably in order to ensure the life and health of pregnant women; ③The implementation of the new rural cooperative medical system Maternal mortality rate dropped by about 2/3; as soon as possible to the floating population of medical treatment, health insurance into the basic public service system to reduce the death of migrant workers; ④ medical technology and maternal health awareness continues to postpartum hemorrhage mortality rate Declining; ⑤ use of advanced medical IB program to reduce maternal mortality.