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目的:了解近年无锡市孕产妇死亡水平及本地人口和流动人口孕产妇死亡的分布。方法:回顾性分析2001～2006年无锡市孕产妇死亡资料,分析其死亡趋势、分布及死因。结果:6年间无锡市共有28名孕产妇死亡,总死亡率11.87/10万,各年度孕产妇死亡率无显著差异(P=0.784)。其中流动人口孕产妇死亡率为29.36/10万,本地人口为3.18/10万,两者差异非常显著(P<0.001)。流动人口以产妇死亡为主,占其总死亡的82.61%;本地人口5例全部为孕妇死亡,两者差异非常显著(P=0.001)。流动人口23例孕产妇的死亡以直接产科因素为主,首位是产科出血;本地人口孕产妇死亡以间接产科因素为主,两者差异非常显著(P=0.003)。结论:无锡市的孕产妇死亡率在全国处于较低的水平,但仍有下降的空间。加强对流动人口围产期系统管理和本地人口围孕期保健可进一步降低孕产妇死亡率。
OBJECTIVE: To understand the maternal mortality level in Wuxi in recent years and the distribution of maternal deaths among local population and floating population. Methods: The data of maternal mortality in Wuxi from 2001 to 2006 were retrospectively analyzed, and their death trends, distributions and causes of death were analyzed. Results: A total of 28 maternal deaths occurred in Wuxi City in the past 6 years, with a total mortality rate of 11.87 / lakh. There was no significant difference in maternal mortality between the two years (P = 0.784). Among them, the maternal mortality rate of floating population was 29.36 / lakh and the local population was 3.18 / lakh. The difference between the two groups was significant (P <0.001). The majority of floating population were maternal deaths, accounting for 82.61% of the total deaths. All five local residents died of pregnant women, with significant difference (P = 0.001). In the floating population, 23 maternal deaths were dominated by direct obstetric factors, with the first being obstetric bleeding. The maternal mortality rate in the local population was dominated by indirect obstetric factors, with significant differences (P = 0.003). Conclusion: The maternal mortality rate in Wuxi is at a low level in the whole country, but there is still room for decline. Strengthening perinatal system management of floating population and perinatal care of local population can further reduce maternal mortality.