CAJ | 학술논문

目的探讨浙江省流动人口孕产妇死亡的主要影响因素,针对性地提出有效降低孕产妇死亡率的干预措施.方法采用1∶4病例对照研究设计,选取浙江省死亡的流动人口孕产妇为病例组,符合配比条件(单胎、年龄、分娩医院、妊娠周数)的流动人口非死亡孕产妇为对照组,通过调查问卷进行调查,内容包括社会人口学因素、孕产期保健情况、分娩情况等.结果共收集流动人口孕产妇死亡病例72例,符合匹配条件的对照288例.两组在社会人口学、孕期保健,妊娠并发症等因素上差异均有统计学意义(均P＜0.05).多因素条件Logistic回归分析显示,产前无检查是导致孕产妇死亡的重要危险因素.结论产前检查次数是影响流动人口孕产妇死亡的重要原因,通过产前检查加强流动孕产妇孕产期保健水平是降低流动人口孕产妇死亡率的有效措施.
목적 탐토절강성류동인구잉산부사망적주요영향인소,침대성지제출유효강저잉산부사망솔적간예조시.방법 채용1∶4병례대조연구설계,선취절강성사망적류동인구잉산부위병례조,부합배비조건(단태、년령、분면의원、임신주수)적류동인구비사망잉산부위대조조,통과조사문권진행조사,내용포괄사회인구학인소、잉산기보건정황、분면정황등.결과 공수집류동인구잉산부사망병례72례,부합필배조건적대조288례.량조재사회인구학、잉기보건,임신병발증등인소상차이균유통계학의의(균P＜0.05).다인소조건Logistic회귀분석현시,산전무검사시도치잉산부사망적중요위험인소.결론 산전검사차수시영향류동인구잉산부사망적중요원인,통과산전검사가강류동잉산부잉산기보건수평시강저류동인구잉산부사망솔적유효조시.
Objective To explore the mortality factors of migrant pregnant women and learn the healthcare utilization status to provide efficient interventions.Methods A case-control study was conducted in Zhejiang province with a case-control ratio of 1 ∶ 4.Cases included migrant pregnant women who died.And controls were migrant pregnant women who survived and matched with single birth,age,hospital and gestational weeks.A questionnaire was used to survey social and demographic factors,healthcare status during antenatal or postpartum period and delivery conditions,etc.Results Seventy-two cases and 288 controls were recruited.There were significant differences in socio-demographic,antenatal care and obstetric complications between two groups (P ＜ 0.05).No prenatal examination was an important factor affecting maternal mortality by multivariate conditional Logistic regression.Conclusion Prenatal examination is an important influencing factor of maternal mortality.And improving the ability of utilizing health care system is an efficient method of lowering the migrant maternal mortality.