论文部分内容阅读
【目的】探讨湘潭市孕产妇死亡原因及其影响因素。【方法】回顾性分析2011～2013年湘潭市孕产妇死亡资料。【结果】3年湘潭市分娩活产总数94538例，孕产妇死亡13例，死亡率为13．75／10万；湘潭城区活产数26920例，死亡6例，死亡率22．29／10万；湘潭农村活产数67618例，死亡7例，死亡率10．35／10万，湘潭市孕产妇死亡率农村低于城区。孕产妇死亡主要原因是间接产科因素：妊娠合并内科疾病，占84．62％，其次是直接产科因素：产后出血，占15．38％。孕产妇死亡主要影响因素是个人、家庭的态度，占38．46％；死亡年龄中25～29岁年龄组最多，占53．85％（7／13），文化程度中高中及以上最多，占53．85％（7／13），计划生育中计内多见，占69．23％（9／13）；孕产妇死亡地点主要是省市级医院和县级医院，分别为30．77％和30．77％；孕产妇死亡评审结果为不可避免死亡（61．54％）和可避免死亡（38．46％） 。 【结论】湘潭市孕产妇死亡的主要原因是妊娠合并内科疾病，其主要影响因素是个人、家庭的态度；孕产妇死亡地点主要是省市级医院和县级医院，湘潭孕产妇死亡率农村低于城区。“,”Objective] To explore the mortality causes and their influencing factors for pregnant or puer ‐peral women in Xiangtan City .[Methods] Retrospective analyses were conducted for mortality surveillance da‐ta for local pregnant or puerperal women between 2011 and 2013 .[Results] The total municipal delivery count of live births was 94 ,538 cases during 2011 ~ 2013 ,including 13 deaths for pregnant or puerperal women with a mortality rate of 13 .75/100 ,000 .Among them ,there were 26 ,920 live births in Xiangtan urban area ,inclu‐ding 6 deaths with a mortality rate of 22 .29/100 ,000 ;67 ,618 cases of live births in rural area ,including 7 deaths with a mortality rate of 10 .35/100 ,000 .And the mortality rate of pregnant or puerperal women in rural area was lower than that in urban area .Encyesis associated with internal medical diseases was a major indirect obstetric cause of death for pregnant or puerperal women ,accounting for 84 .62% ;postpartum hemorrhage due to direct obstetric cause led to death for 15 .38% of pregnant or puerperal women .The individual and fam‐ily attitudes were the major influencing factor of mortality .And the percentage of 38 .46% ranked as the first place .The mortality of pregnant or puerperal women was mostly concentrated at provincial & municipal (30 . 77% ) and county‐level (30 .77% ) hospitals respectively .And 61 .54% of mortality cases were inevitable and 38 .46% could be avoided .[Conclusion] Encyesis associated with internal medical diseases is a major cause of death for pregnant or puerperal women in Xiangtan City ;individual and family attitudes is a major influencing factor of mortality for pregnant or puerperal women ;the mortality of pregnant or puerperal women is mostly concentrated at provincial ,municipal and county‐level hospitals .And the mortality rate of pregnant or puer‐peral women is lower in rural area than that in urban area of Xiangtan City .