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目的探讨流动人口孕产妇死亡原因及影响因素,为降低孕产妇死亡率制定有关政策与措施提供依据。方法对中山市沙溪镇1998～2007年8例死亡的流动人口孕产妇进行死因及相关因素分析。结果中山市沙溪镇10 a内活产总数16502例,孕产妇死亡率平均为54.54/10万,流动人口死亡率占75.62/10万。孕产妇死亡原因前3位为羊水栓塞、产科出血、妊娠高血压疾病,而流动人口孕产妇死亡率与文化程度、计划生育、接生法、怀孕次数、分娩次数和产前检查密切相关。结论加强流动人口孕产妇管理,是杜绝非法接生,提高围产期保健质量,控制流动人口孕产妇死亡率的有效措施。
Objective To explore the causes and influencing factors of maternal mortality in floating population and provide evidence for the development of relevant policies and measures to reduce maternal mortality. Methods The cause of death and related factors of 8 pregnant women in floating population from 1998 to 2007 in Shaxi Town, Zhongshan City were analyzed. Results The total number of live births within 10 years in Shaxi Town of Zhongshan City was 16,502, the average maternal mortality rate was 54.54 / 100,000 and the floating population death rate was 75.62 / 100,000. Maternal mortality of the first three causes of amniotic fluid embolism, obstetric hemorrhage, pregnancy-induced hypertension disease, while the floating population of maternal mortality and education, family planning, birth attendance, number of pregnancies, number of deliveries and prenatal care are closely related. Conclusion Strengthening maternal management among floating population is an effective measure to stop illegal delivery, improve the quality of perinatal care and control the maternal mortality rate among floating population.