中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
CHINESE JOURNAL OF MATERNAL AND CHILD HEALTH RESEARCH
2014年
6期
951-953,957
,共4页
黄勤瑾%施君瑶%郑俊红%阿孜古库都来提%王秦%唐美玉%顾晶菁
黃勤瑾%施君瑤%鄭俊紅%阿孜古庫都來提%王秦%唐美玉%顧晶菁
황근근%시군요%정준홍%아자고고도래제%왕진%당미옥%고정정
孕产妇死亡率%少数民族%孕产期保健%产科出血
孕產婦死亡率%少數民族%孕產期保健%產科齣血
잉산부사망솔%소수민족%잉산기보건%산과출혈
maternal mortality rate ( MMR)%minority nationality%maternal health care%obstetric hemorrhage
目的:对新疆喀什莎车县孕产妇死亡的主要影响因素进行分析。方法通过妇幼保健服务网络收集2007年10月1日到2012年9月30日发生在新疆喀什莎车县的孕产妇死亡个案;对该县从事孕产期医疗保健服务业务和管理人员进行定性访谈。结果5年内该县孕产妇死亡共75例,死亡率从2008年的123.17/10万逐步下降到2012年的69.25/10万,下降幅度达43.78%。死亡孕产妇中98.67%是维吾尔族,92.00%文化程度为初中及以下,42.67%的死亡孕产妇在整个孕期未接受产前检查。孕产妇死亡原因前3位依次为产科出血(48.00%)、妊娠期高血压疾病(29.34%)和羊水栓塞(8.00%)。整体卫生人力资源的缺乏及产科技术水平相对落后,影响了孕产期医疗保健服务提供的有效性,而当地社会经济、地理交通、文化习俗等因素又进一步制约了孕产期保健服务的利用。结论5年来该地区孕产妇死亡率显著下降,产科出血和妊娠期高血压疾病是孕产妇主要死亡原因,该地区的孕产期保健服务提供相对不足和服务利用率较低,影响了孕产妇死亡率的进一步下降。
目的:對新疆喀什莎車縣孕產婦死亡的主要影響因素進行分析。方法通過婦幼保健服務網絡收集2007年10月1日到2012年9月30日髮生在新疆喀什莎車縣的孕產婦死亡箇案;對該縣從事孕產期醫療保健服務業務和管理人員進行定性訪談。結果5年內該縣孕產婦死亡共75例,死亡率從2008年的123.17/10萬逐步下降到2012年的69.25/10萬,下降幅度達43.78%。死亡孕產婦中98.67%是維吾爾族,92.00%文化程度為初中及以下,42.67%的死亡孕產婦在整箇孕期未接受產前檢查。孕產婦死亡原因前3位依次為產科齣血(48.00%)、妊娠期高血壓疾病(29.34%)和羊水栓塞(8.00%)。整體衛生人力資源的缺乏及產科技術水平相對落後,影響瞭孕產期醫療保健服務提供的有效性,而噹地社會經濟、地理交通、文化習俗等因素又進一步製約瞭孕產期保健服務的利用。結論5年來該地區孕產婦死亡率顯著下降,產科齣血和妊娠期高血壓疾病是孕產婦主要死亡原因,該地區的孕產期保健服務提供相對不足和服務利用率較低,影響瞭孕產婦死亡率的進一步下降。
목적:대신강객십사차현잉산부사망적주요영향인소진행분석。방법통과부유보건복무망락수집2007년10월1일도2012년9월30일발생재신강객십사차현적잉산부사망개안;대해현종사잉산기의료보건복무업무화관리인원진행정성방담。결과5년내해현잉산부사망공75례,사망솔종2008년적123.17/10만축보하강도2012년적69.25/10만,하강폭도체43.78%。사망잉산부중98.67%시유오이족,92.00%문화정도위초중급이하,42.67%적사망잉산부재정개잉기미접수산전검사。잉산부사망원인전3위의차위산과출혈(48.00%)、임신기고혈압질병(29.34%)화양수전새(8.00%)。정체위생인력자원적결핍급산과기술수평상대락후,영향료잉산기의료보건복무제공적유효성,이당지사회경제、지리교통、문화습속등인소우진일보제약료잉산기보건복무적이용。결론5년래해지구잉산부사망솔현저하강,산과출혈화임신기고혈압질병시잉산부주요사망원인,해지구적잉산기보건복무제공상대불족화복무이용솔교저,영향료잉산부사망솔적진일보하강。
Objective To identify the major factors related to maternal mortality in Shache County in Xingjiang .Methods Maternal mortality and basic information of women was obtained from the maternal and child health care network between October 1st, 2007 and September 30th, 2012 in Shache County in Xinjiang , and qualitative interview was conducted among service and management personnel . Results In these five years there were 75 cases of maternal mortality in the county .The maternal mortality rate ( MMR) in the poverty county declined by 43.78%from 123.17 per 100 000 live births in 2008 to 69.25 per 100 000 live births in 2012.Among the mortality cases, 98.67%were cases of Uygur nationality , 92.00%did not accept 9 years or more education which was compulsory in China , and 42.67%had not received any antenatal care .The top three causes of maternal death were obstetric hemorrhage (48.00%), pregnancy-induced hypertension (29.34%) and amniotic fluid embolism (8.00%).Lack of health human resources and backward of scientific and technologic levels affected the efficacy of medical care service at pregnant period , and some factors including social economy , geographic transportation and culture restricted the utilization of health service .Conclusion The MMR of the poverty county has significantly decreased in the past five years , and obstetric hemorrhage and pregnancy-induced hypertension are the major causes of maternal mortality .Relative insufficient health care and low utilization of service hinder the further decrease of MMR .