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目的了解济南市1995-2014年孕产妇死亡的流行情况及城乡差别。方法利用济南市三级保健网络收集1995年1月1日-2014年9月30日孕产妇死亡病历资料,采用SPSS 18.0统计软件对数据进行分析。结果 1995-2014年济南市共死亡孕产妇242名(21.01/10万),其中农村地区死亡187名(222.87/10万),城市地区死亡55名(16.46/10万),农村地区孕产妇死亡率高于城市地区(P<0.05);农村地区孕产妇多死亡于二级医院和三级医院(34.95%、35.48%),城市地区主要死亡于三级医院(66.07%);农村地区与城市地区在死亡年龄上没有差别,但主要死亡年龄均在31~35岁;总体上济南市孕产妇主要死因是产后出血(22.73%)。但城市农村略有差异,农村地区以产后出血为主(22.68%),城市地区以羊水栓塞为主(19.64%)。结论应实施加强农村地区产科资源建设、着力畅通孕产妇转诊绿色通道、加大危重孕产妇的经济扶持等措施,以降低农村地区孕产妇死亡率,另外,高龄产妇的孕产期保健工作也应该引起重视。
Objective To understand the prevalence of maternal deaths and the differences between urban and rural areas in Jinan City from 1995 to 2014. Methods The data of maternal deaths from January 1, 1995 to September 30, 2014 were collected from the tertiary health care network in Jinan City. The data were analyzed by SPSS 18.0 statistical software. Results A total of 242 maternal deaths (21.01 / 100,000) were reported in Jinan City from 1995 to 2014, of which 187 (222.87 / 100,000) died in rural areas and 55 (16.46 / 100,000) died in urban areas. Maternal deaths in rural areas (34.95%, 35.48%) in rural areas, and death in tertiary hospitals (66.07%) in urban areas. In rural areas and cities, the number of maternal deaths in secondary hospitals and tertiary hospitals There were no differences in the age of death between the two groups, but the main death ages ranged from 31 to 35 years old. In general, the leading cause of death of pregnant women in Jinan was postpartum hemorrhage (22.73%). However, there was a slight difference in urban areas and rural areas, with postpartum hemorrhage (22.68%) in rural areas and amniotic fluid embolism (19.64%) in urban areas. Conclusion The measures should be taken to strengthen the construction of obstetrics resources in rural areas, make efforts to unblock the green channel of pregnant women and increase the economic support for those who are seriously ill, so as to reduce the maternal mortality rate in rural areas. In addition, the maternal health care for older mothers Should pay attention.