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目的:探讨杭州市孕产妇死亡原因及影响因素,提出降低孕产妇死亡率的干预措施。方法:根据杭州市2001～2006年孕产妇死亡个案表、调查报告和专家评审组的评审结果进行回顾性分析。结果:6年中杭州市孕产妇死亡62例,其中本地户籍38例、流动人口24例。孕产妇死亡原因户籍人口前3位依次为产科出血、羊水栓塞和心脏病、肝脏疾病;流动人口为产科出血、羊水栓塞、子痫和心脏病。专家评审结果为可以避免死亡10例,占16.13%;创造条件可以避免27例,占43.55%;不可避免25例,占40.32%。结论:孕产妇死亡是由医学和社会诸多因素相互影响的结果,降低孕产妇死亡率应政府重视,社会多方面、多部门合作,共同努力才能取得成效。流动人口孕产妇管理是今后较长时期内需要探讨、解决的问题。
Objective: To investigate the causes and influencing factors of maternal mortality in Hangzhou and put forward the interventions to reduce maternal mortality. Methods: A retrospective analysis was made on the maternal death case list, investigation report and expert review group’s accreditation results from 2001 to 2006 in Hangzhou. Results: 62 cases of maternal death in Hangzhou in 6 years, including 38 cases of local household registration and 24 cases of floating population. Causes of maternal death The top 3 census populations were obstetric bleeding, amniotic fluid embolism and heart disease and liver disease. The floating population was obstetric bleeding, amniotic fluid embolism, eclampsia and heart disease. Expert assessment results to avoid death in 10 cases, accounting for 16.13%; create conditions to avoid 27 cases, accounting for 43.55%; inevitable 25 cases, accounting for 40.32%. Conclusion: Maternal death is caused by the interaction between medical and social factors. Reducing the maternal mortality rate should be paid more attention by the government, with various social and multi-sectoral cooperation and joint efforts to achieve results. Maternal management of floating population is a problem to be explored and solved in the longer term.