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目的:分析孕产妇死亡率的变化规律,为进一步降低孕产妇死亡率提供参考依据。方法:回顾调查分析2007~2013年山东省孕产妇死亡监测点资料,并进行自回归滑动平均模型死亡率预测。结果:7年孕产妇死亡率依次为20.91/10万、20.85/10万、22.24/10万、21.13/10万、20.59/10万、18.94/10万和16.80/10万,平均为19.53/10万,年平均下降率为3.58%;预测2014年孕产妇死亡率为14.11/10万。前3位死因为产科出血、妊娠合并心脏病、肺栓塞。分娩地点、死亡地点、孕产妇产前检查情况、家庭人均年收入及文化程度对其死亡有影响。评审结果显示,50.82%的死亡孕产妇是可避免的。结论:山东省孕产妇死亡率下降速度减慢,处于平台期。实现孕产妇死亡率进一步降低有赖于提高产科服务能力、提升社会经济水平、提高孕产妇及家属认知与识别能力等综合措施的共同干预。
Objective: To analyze the variation of maternal mortality rate and provide reference for further reducing the maternal mortality rate. Methods: The data of maternal death monitoring sites in Shandong Province from 2007 to 2013 were analyzed retrospectively, and the autoregressive moving average mortality was predicted. Results: The seven-year maternal mortality rate was 20.91 / 100000, 20.85 / 100000, 22.24 / 100000, 21.13 / 100000, 20.59 / 100000, 18.94 / 100000 and 16.80 / 100000 with an average of 19.53 / 10 The annual average rate of decline is 3.58%. The 2014 maternal mortality rate is expected to be 14.11 / 100,000. The first 3 died because of obstetric hemorrhage, pregnancy complicated by heart disease, pulmonary embolism. The place of delivery, place of death, prenatal checkup of pregnant women, annual per capita income of family and education level have an impact on their death. Assessment results show that 50.82% of the deaths of pregnant women can be avoided. Conclusion: The rate of maternal mortality in Shandong Province has slowed down and is at a plateau. To achieve further reduction of maternal mortality depends on joint interventions such as improvement of obstetric services, promotion of socio-economic level and improvement of cognitive and recognition abilities of pregnant women and their families.