2004-2014年株洲市孕产妇死亡监测及干预措施分析

摘要

目的：：分析2004-2014年株洲市孕产妇死亡的病因和变化规律，提出控制孕产妇死亡的干预措施。方法对本地区2004-2014年孕产妇死亡资料进行回顾性分析。结果本地区2004-2014年孕产妇死亡率呈逐年下降趋势；产后出血、羊水栓塞、急性肺栓塞、妊娠期高血压疾病、妊娠合并心脏病是孕产妇死亡的前5位原因。影响死亡的因素有：文化程度偏低，产前检查少且不规范，宫腔手术操作多、计划外生育、医疗救治水平等。结论降低孕产妇死亡率，需社会各部门联动，加强健康教育，夯实孕产期保健基础工作、规范管理，提高医务人员对高危孕产妇的识别救治能力，最大程度控制孕产妇死亡。%Objective:To analyze the causes and trends of maternal mortality in Zhuzhou from 2004 to 2014,and to explore strategies for controlling maternal death. Methods:Retrospective study using data from Maternal Mortality Surveillance (2004- 2014)in Zhuzhou. Results:The maternal mortality declined in the past 11 years in Zhuzhou.The top five causes of maternal death were maternal haemor-rhage,amniotic fluid embolism, pulmonary embolism,hypertensive disorders of pregnancy, pregnancy with heart disease.For maternal death,the following conditions prevailed:lower education,less and non- regular antenatal care,more intrauterine surgery,unplanned birth and medical level,etc. Conclusion: Reducing the maternal mortality needs the cooperation of each social department, strengthening health care education,consolidating and regularizing the foundation work of maternal health care, improving the recognition and cure capability to high- risk pregnancies of medical staffs.