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目的:对钦州市2000～2006年孕产妇死亡监测结果进行分析,了解孕产妇死亡原因及其变化趋势,为进一步降低孕产妇死亡率提供依据。方法:按照中国和广西《孕产妇死亡监测方案》,全市开展孕产妇死亡监测,每季逐级上报季报表和孕产妇死亡报告卡,每年开展监测质控,及时查漏补缺。结果:2000～2003年间孕产妇死亡率呈波动下降趋势,2004年有明显回升,2005和2006年稳步下降;主要死因中直接产科原因比间接产科原因死亡率高,其中产科出血居首位,占死亡总人数的35.66%,其次为妊娠合并内科疾病(31.03%);孕37周后死亡占55.04%;死亡地点在镇级卫生院比例高(26.36%);37.21%孕期未做产前检查。结论:继续深入开展母婴安全工程,提高住院分娩率,加强产前、产时保健,加强镇级卫生院产科质量建设和专业技术培训,确保绿色转诊通道畅通等有效措施能进一步降低孕产妇死亡率。
Objective: To analyze the maternal mortality monitoring results in Qinzhou from 2000 to 2006, understand the causes of maternal death and its changing trend, and provide the basis for further reducing maternal mortality. Methods: According to the “maternal death monitoring program” in China and Guangxi, the city carried out maternal mortality monitoring, quarterly quarterly reporting of quarterly reports and maternal death report cards, monitoring quality control and timely checking and correcting vacancies. Results: The maternal mortality rate showed a downward trend from 2000 to 2003, with a marked rebound in 2004 and a steady decline in 2005 and 2006. The direct cause of death was higher in direct obstetric causes than in indirect obstetric causes, with obstetric bleeding ranking the first place 35.66% of the total deaths were followed by medical complications in pregnancy (31.03%); 55.04% died after 37 weeks of gestation; the death rate was higher in the township hospitals (26.36%); 37.21% did not make the prenatal examination during pregnancy. CONCLUSION: Effective measures such as continuing to carry out maternal and child safety projects, increasing hospital delivery rate, strengthening prenatal and postnatal care, strengthening obstetrics and gynecology quality and professional technical training at township health centers and ensuring smooth green referral channels can further reduce maternal mortality rate.