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目的:分析2003～2009年武汉市孕产妇的死亡情况,为政府部门制定政策提供依据。方法:收集2003～2009年武汉市105例死亡孕产妇的信息,应用SAS V8专业软件进行统计分析。结果:在死亡的孕产妇中,流动人口的年龄比常住人口和转院的孕产妇年龄大,两两相比差异有统计学意义(F=6.40,P=0.002 4);流动人口死亡的孕产妇中,70.37%属于计划外妊娠;死亡的孕产妇在孕期产前检查的次数均不理想;常住人口和流动人口的孕产妇死亡中,有63.27%和85.19%死于直接产科原因,转院来的74.07%的死亡孕产妇死于间接产科原因,直接产科原因最常见的为羊水栓塞和产科出血,间接产科原因最常见的为心血管疾病和肝病;经过评审后发现,59.22%的孕产妇死亡可以避免,21.36%的孕产妇死亡创造条件可以避免。结论:武汉市孕产妇死亡率处于全国较低水平,但孕产妇死亡率下降还存在有一定空间。流动人口孕产妇系统管理和周边县市级医院对高危孕产妇的救治能力有待于加强。
Objective: To analyze the maternal deaths in Wuhan from 2003 to 2009, and provide basis for government departments to formulate policies. Methods: 105 maternal deaths in Wuhan from 2003 to 2009 were collected, and SAS V8 professional software was used for statistical analysis. Results: Among the dead pregnant women, the floating population was older than the resident population and the transferred maternal age. There was a significant difference between the two groups (F = 6.40, P = 0.002 4). The death of migrant women 70.37% of them were unplanned pregnancies; the number of pregnant women who died was less than the number of prenatal tests during pregnancy; 63.27% and 85.19% of the maternal deaths of permanent residents and floating population died of direct obstetric reasons, 74.07% of the deaths of maternal deaths due to indirect obstetric reasons, the most common direct maternity causes of amniotic fluid embolism and obstetric hemorrhage, indirect obstetric reasons for the most common cardiovascular disease and liver disease; after review found that 59.22% of maternal deaths can Avoiding that 21.36% of maternal deaths create conditions that can be avoided. Conclusion: The maternal mortality rate in Wuhan is at a relatively low level in the whole country, but there is still some room for reduction of maternal mortality. Systemic management of pregnant women by floating population and the treatment of high-risk pregnant women in peripheral county-level hospitals need to be strengthened.