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目的了解深圳市龙岗区近10年孕产妇死亡的变化趋势和死因构成,探讨近年来采取的降低孕产妇死亡率干预措施的效果。方法采用回顾性分析方法,对龙岗区2006-2015年孕产妇死亡资料进行分析。结果龙岗区近10年孕产妇死亡65例,平均死亡率为16.74/10万;孕产妇死亡率呈明显下降趋势,2015年低至4.89/10万。孕产妇死亡直接产科因素为产科出血占20.00%、妊娠期高血压疾病占10.77%、羊水栓塞占18.46%、异位妊娠占10.77%、子宫破裂占1.54%;间接产科因素导致孕产妇死亡比例上升,2012年开始间接产科因素导致的死亡超过直接产科因素导致的死亡,2014、2015年直接产科因素导致的孕产妇死亡为0。结论龙岗区近年来采取的降低孕产妇死亡率干预措施,对控制孕产妇死亡起到了较显著的作用,可为其他医疗卫生机构制定策略提供参考。
Objective To understand the changing trend and cause of death of maternal death in Longgang District in recent 10 years and to explore the effect of interventions to reduce maternal mortality in recent years. Methods A retrospective analysis method was used to analyze maternal death data from 2006 to 2015 in Longgang District. Results 65 cases of maternal death in Longgang District in the recent 10 years, with an average mortality rate of 16.74 / 100 000; maternal mortality rate showed a significant downward trend in 2015 as low as 4.89 / 100 000. Maternal mortality directly obstetric factors accounted for 20.00% of obstetric hemorrhage, gestational hypertension accounted for 10.77%, amniotic fluid embolism accounted for 18.46%, ectopic pregnancy accounted for 10.77%, uterine rupture accounted for 1.54%; indirect obstetric factors led to an increase in the proportion of maternal death , Deaths due to indirect obstetric causes started in 2012 more than those resulting from direct obstetric causes, and maternal deaths due to direct obstetric causes in 2014 and 2015 were zero. Conclusion Interventions on reducing maternal mortality adopted by Longgang District in recent years have played a significant role in controlling maternal mortality and can provide reference for other medical and health institutions in formulating strategies.