论文部分内容阅读
目的:分析吉林省孕产妇死亡情况,了解孕产妇系统管理中存在的问题,为制订有效降低孕产妇死亡率的干预措施提供科学依据。方法:回顾性分析吉林省2004～2009年孕产妇死亡的病例资料及评审结果,采用WHO十二格表进行分析。结果:①活产数变化:5年来吉林省孕产妇活产分娩数量略有增加,但增长幅度不显著。②孕产妇死亡率:2004～2009年吉林省孕产妇死亡率呈持续平稳的下降态势,2009年达27.12/10万,低于全国水平。③城乡孕产妇死亡构成比:5年间死亡构成比农村高于城市,但农村孕产妇死亡构成比呈下降态势。④死亡孕产妇住院分娩率:住院分娩率逐年增高,并以县(区)医院及省(市)医院为主。⑤死亡孕产妇孕期保健率:孕期保健率逐年提高,高危孕产妇管理率均在93%以上。⑥死因构成比及顺位:前5位死因依次为:产科出血、妊娠期高血压疾病、妊娠合并心脏病、羊水栓塞、肺栓塞。⑦直接产科原因与间接产科原因所致死亡:2007～2009年直接产科原因导致的死亡为95例(53.98%),间接产科原因导致的死亡为74例(42.05%)。⑧WHO十二格表分类:2007～2009年吉林省死亡孕产妇以医疗保健机构的知识技能问题占主要原因(45.20%),其次为个人家庭的知识技能原因(19.86%)。结论:①2004～2009年吉林省孕产妇死亡率呈逐年下降的趋势。②专业培训和孕期保健是母婴健康的保障。③随着孕产妇死因构成比的变化及服务需求的提高,探索新的服务与管理模式保障母婴安康更加显得十分必要。
Objective: To analyze the maternal death in Jilin Province, understand the problems in the system management of pregnant women, and provide a scientific basis for the formulation of interventions to effectively reduce the maternal mortality rate. Methods: A retrospective analysis of the case data and assessment results of maternal deaths in Jilin Province from 2004 to 2009 was conducted and analyzed using the WHO grid. Results: ① Changes in live births: The number of live births and childbirth in Jilin Province increased slightly in 5 years, but the growth rate was not significant. ② Maternal mortality rate: From 2004 to 2009, the maternal mortality rate in Jilin Province showed a steady and steady downward trend, reaching 27.12 / lakh in 2009, lower than the national average. ③Composition ratio of maternal mortality in urban and rural areas: the proportion of deaths in rural areas over five years is higher than that in urban areas, but the proportion of rural maternal deaths is declining. ④ death maternal hospital delivery rate: hospital delivery rate increased year by year, and the county (district) hospitals and provincial (city) hospitals. ⑤ maternal pregnancy rate of death: the health care rate increased during pregnancy, high-risk maternal management rates were above 93%. ⑥ constitution and the cause of death causes: the top five causes of death were as follows: obstetric hemorrhage, gestational hypertension, pregnancy complicated by heart disease, amniotic fluid embolism, pulmonary embolism. ⑦ Direct obstetric and indirect obstetric causes of death: Direct maternity causes of 95 deaths (53.98%) between 2007 and 2009, and indirect obstetric causes of 74 deaths (42.05%). ⑧WHO Twelve Grid Classification: The main reason (45.20%) is the knowledge and skills of pregnant and maternal deaths in Jilin Province from 2007 to 2009, followed by the knowledge and skills of individual families (19.86%). Conclusion: ① The maternal mortality rate in Jilin Province shows a declining trend from 2004 to 2009. ② professional training and health care during pregnancy is the guarantee of maternal and child health. ③ With changes in the composition ratio of maternal deaths and the demand for services, it is necessary to explore new service and management models to ensure the well-being of mother and child.