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目的 了解从化市 1981～ 2 0 0 1年孕产妇死亡情况。方法 将 1981～ 2 0 0 1年分为 1981～ 1991及 1992～ 2 0 0 1两个时间段 ,对其孕产妇死亡率、死因顺位、住院分娩率、孕产次、产检覆盖率变化采用 χ2 检验进行对比分析。结果 第一阶段孕产妇死亡率为 85 2 2 / 10万 ,第二阶段孕产妇死亡率为 4 6 2 0 / 10万 ,差异有显著性 (P <0 0 1)。第一阶段死因顺位前四位为产科出血、合并内外科疾病、妊高征、产科感染 ;第二阶段为合并内外科疾病、产科出血、妊高征、羊水栓塞。第一阶段住院分娩率为 6 9 13% ,第二阶段为 73 0 6 % ,差异有显著性 (P <0 0 1)。第一阶段产检覆盖率为 74 0 4 % ,第二阶段为 85 2 4 % ,差异有显著性 (P <0 0 1)。结论 加强分级管理、高危管理以及其他预防治疗措施 ,可有效降低孕产妇死亡率
Objective To understand the maternal mortality in Conghua City from 1981 to 2001. The method was divided into two periods from 1981 to 1991 and from 1992 to 2000 from 1981 to 2001. The maternal mortality rate, the cause of death, the rate of hospital delivery, the number of births, and the rate of production coverage were adopted. Χ2 test for comparative analysis. Results The first phase of maternal mortality was 85 2 2 / 10 000, and the second phase of maternal mortality was 4 6 20 / 10 000, with a significant difference (P <0 01). The first four causes of death were obstetric hemorrhage, combined internal and external surgical diseases, pregnancy-induced hypertension, and obstetric infection; the second stage was the combination of internal and surgical diseases, obstetric hemorrhage, pregnancy-induced hypertension, and amniotic fluid embolism. The rate of first-trimester delivery was 69.13% in the first stage and 73.6% in the second stage. The difference was significant (P < 0 01). The coverage rate of the first phase of the inspection was 74.04 percent, and the second phase was 85.24 percent. The difference was significant (P < 0.01). Conclusion Step-up management, high-risk management and other preventive treatment measures can effectively reduce maternal mortality.