论文部分内容阅读
目的了解云南省孕产妇死亡变化趋势、主要死因及实施干预措施的效果,为政府进一步制定干预措施提供科学依据。方法采用生态学分析的方法对2006-2014年全省孕产妇死亡监测资料及评审结果进行趋势比较;采用SPSS 11.5软件进行数据分析,以P<0.05为差异有统计学意义。结果 2006-2014年全省孕产妇死亡率呈逐年明显下降趋势,控制率于2012年首次出现拐点,2014年已降至22.14/10万,虽然达到预期控制目标,但仍然落后于全国多数省份,孕产妇死亡率存在较大的地区差异,产科出血虽逐年减少,但仍是孕产妇死亡的第1位死因。结论提高孕产妇可避免死亡率的关键是完善孕情发现及报告联动机制,加强县级产科能力建设与乡村两级高危孕产妇筛查识别的技术培训,同时完善住院分娩补助政策。
Objective To understand the trend of maternal mortality in Yunnan Province, the main causes of death and the effects of interventions, so as to provide a scientific basis for the government to further formulate intervention measures. Methods The method of ecological analysis was used to compare the monitoring data and assessment results of maternal mortality from 2006 to 2014 in the province. The data were analyzed by SPSS 11.5 software. The difference was statistically significant at P <0.05. Results The maternal mortality rate showed a declining trend year by year in 2006-2014. The control rate first inflected in 2012 and dropped to 22.14 / 100,000 in 2014. Although the target of control was reached, it still lags behind most of the provinces in the country, There is a large regional disparity in maternal mortality. Although obstetric hemorrhage has decreased year by year, it is still the No. 1 cause of maternal death. Conclusion The key to improving maternal mortality avoidance is to perfect the mechanism of pregnancy detection and reporting, strengthen technical training on county-level obstetric capacity-building and high-risk screening of pregnant women at the village level, and improve the subsidy policy of hospital delivery.