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目的:分析乌鲁木齐市2008~2009年孕产妇死亡情况,采取有效措施降低汉、维、哈等少数民族孕产妇死亡率。方法:按十二格表评审法,实行一案一评,并提出有针对性的干预措施。结果:在死亡原因构成方面,①产科疾病是孕产妇死亡的最主要原因,2008年内科合并症居首位,产科出血居第二位;2009年产科出血居首位,产褥期感染居第二位,内科合并症居第三位。②流动人口家庭贫困也是孕产妇死亡的重要原因之一。③孕产妇及家庭成员缺乏自我保健意识,不重视产前检查,对妊娠及分娩存在的风险认识不足,死亡病例中产检<5次者占77.77%。④非法接生现象严重,仅2009年死亡孕产妇在家中分娩者占33.33%。⑤产科质量方面主要是高危筛查与管理不严格,城乡结合部高危筛查能力低,高危孕产妇不能及时转诊,在孕产期保健服务中基层保健服务网底不健全,服务能力低。结论:乌鲁木齐市孕产妇死亡率仍高于国内经济发达地区,相关部门应切实承担起相应的职责,提高孕产妇主动接受系统保健服务的意识,在全社会形成贯彻《中华人民共和国母婴保健法》的良好氛围,使全社会都来关心妇女儿童的生命安全和身心健康。
Objective: To analyze maternal mortality in Urumqi from 2008 to 2009 and take effective measures to reduce the maternal mortality rate among Han, Uygur and Kazak ethnic groups. Methods: According to the twelve grid review method, the implementation of a case of a comment, and put forward targeted interventions. Results: In terms of the cause of death, ① maternity disease is the most important cause of maternal death. In 2008, medical comorbidity ranks the first place with obstetric hemorrhage ranking second. In 2009, obstetric bleeding ranks the first place and puerperal infection ranks second , Medical complications ranked third. ② Floating population Household poverty is also one of the important causes of maternal mortality. ③ Maternal and family members lack awareness of self-care, do not attach importance to prenatal care, lack of understanding of the risks of pregnancy and childbirth, and the deaths were less than 5 times, accounting for 77.77%. ④ serious illicit delivery, only maternal deaths in 2009 at home accounted for 33.33%. ⑤ obstetric quality is mainly high-risk screening and management is not strict, urban and rural areas with high screening risk is low, high-risk pregnant women can not be promptly referral, in the maternal health care services in the grass-roots health care network is not perfect, low service capacity. Conclusions: The maternal mortality rate in Urumqi is still higher than that in developed areas in China. Related departments should take practical responsibilities and raise awareness of maternal active access to systematic health services. In the whole society, the “Maternal and Child Health Care Law of the People’s Republic of China ”The good atmosphere, so that the whole society are concerned about the lives and safety of women and children and physical and mental health.