中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
Chinese Journal of Woman and Child Health Research
2015年
4期
689-691
,共3页
王小丽%王莹%陈永慧%王磊
王小麗%王瑩%陳永慧%王磊
왕소려%왕형%진영혜%왕뢰
非住院分娩%家庭接生%新疆地区%孕产妇死亡
非住院分娩%傢庭接生%新疆地區%孕產婦死亡
비주원분면%가정접생%신강지구%잉산부사망
non-hospital delivery%home birth%Xinjiang area%maternal mortality
目的 通过分析新疆南部三地区家庭分娩死亡孕产妇的孕期保健情况,反映当地孕产期保健服务利用的基本情况和主要问题,并提出改进措施. 方法 回顾性查阅2005至2013年新疆南部地区在家分娩死亡孕产妇的相关资料,分析孕产妇利用保健服务的能力及影响因素. 结果 8年中孕产妇共死亡454例,其中在家分娩死亡75例( 16 .5%) ,在家分娩死亡的孕产妇产前检查率为56.00%,早期检查率为25.33%,5次产前检查率为14.67%. 死亡孕产妇中计划内妊娠孕妇的产前检查率高于计划外妊娠者(χ2 =6.557,P<0.05). 低收入、低文化程度及低收入合并低文化程度的死亡孕产妇产前检查率、早期检查率和5次以上产前检查率比较差异均有统计学意义(χ2 值分别为183.307、242.000和248.000,均P<0.05). 产科出血是家庭分娩孕产妇死亡的首位原因. 个人家庭知识技能是家庭分娩孕产妇死亡的重要影响因素. 结论 家庭分娩孕产妇是发生孕产妇死亡的高危人群,孕产妇家庭经济收入、受教育程度、对卫生政策的了解是影响孕产妇保健服务利用的重要因素. 应该加大对贫困、低文化层次孕产妇及其家庭的健康教育和政策支持,提高住院分娩率,降低可避免的孕产妇死亡.
目的 通過分析新疆南部三地區傢庭分娩死亡孕產婦的孕期保健情況,反映噹地孕產期保健服務利用的基本情況和主要問題,併提齣改進措施. 方法 迴顧性查閱2005至2013年新疆南部地區在傢分娩死亡孕產婦的相關資料,分析孕產婦利用保健服務的能力及影響因素. 結果 8年中孕產婦共死亡454例,其中在傢分娩死亡75例( 16 .5%) ,在傢分娩死亡的孕產婦產前檢查率為56.00%,早期檢查率為25.33%,5次產前檢查率為14.67%. 死亡孕產婦中計劃內妊娠孕婦的產前檢查率高于計劃外妊娠者(χ2 =6.557,P<0.05). 低收入、低文化程度及低收入閤併低文化程度的死亡孕產婦產前檢查率、早期檢查率和5次以上產前檢查率比較差異均有統計學意義(χ2 值分彆為183.307、242.000和248.000,均P<0.05). 產科齣血是傢庭分娩孕產婦死亡的首位原因. 箇人傢庭知識技能是傢庭分娩孕產婦死亡的重要影響因素. 結論 傢庭分娩孕產婦是髮生孕產婦死亡的高危人群,孕產婦傢庭經濟收入、受教育程度、對衛生政策的瞭解是影響孕產婦保健服務利用的重要因素. 應該加大對貧睏、低文化層次孕產婦及其傢庭的健康教育和政策支持,提高住院分娩率,降低可避免的孕產婦死亡.
목적 통과분석신강남부삼지구가정분면사망잉산부적잉기보건정황,반영당지잉산기보건복무이용적기본정황화주요문제,병제출개진조시. 방법 회고성사열2005지2013년신강남부지구재가분면사망잉산부적상관자료,분석잉산부이용보건복무적능력급영향인소. 결과 8년중잉산부공사망454례,기중재가분면사망75례( 16 .5%) ,재가분면사망적잉산부산전검사솔위56.00%,조기검사솔위25.33%,5차산전검사솔위14.67%. 사망잉산부중계화내임신잉부적산전검사솔고우계화외임신자(χ2 =6.557,P<0.05). 저수입、저문화정도급저수입합병저문화정도적사망잉산부산전검사솔、조기검사솔화5차이상산전검사솔비교차이균유통계학의의(χ2 치분별위183.307、242.000화248.000,균P<0.05). 산과출혈시가정분면잉산부사망적수위원인. 개인가정지식기능시가정분면잉산부사망적중요영향인소. 결론 가정분면잉산부시발생잉산부사망적고위인군,잉산부가정경제수입、수교육정도、대위생정책적료해시영향잉산부보건복무이용적중요인소. 응해가대대빈곤、저문화층차잉산부급기가정적건강교육화정책지지,제고주원분면솔,강저가피면적잉산부사망.
Objective To analyze the prenatal care of pregnant women suffering home birth death in three areas of southern Xinjiang and probe common conditions and main problems in prenatal health service using for proposal of improvement measures.Methods Maternal death information in southern Xinjiang during 2005 to 2013 was retrospectively checked, and the ability and influencing factors of using prenatal care services were analyzed.Results During 8 years totally 454 pregnant women died, including 75 cases (16.5%)of home death in delivery.The prevalence of prenatal examination accepted by pregnant women suffering home birth death was 56.00%, early prenatal examination rate was 25.33%, and the ratio of prenatal examination for more than 5 times was 14.67%.Among maternal death the prenatal examination rate for planned pregnancy was higher than that for unplanned pregnancy (χ2 =6.557,P<0.05).The prenatal examination rate, early prenatal examination rate and prenatal examination for more than 5 times were significantly different among women with low income, with low culture, and with low income and low culture (χ2 value was 183.307, 242.000 and 248.000, respectively, all P<0.05).Obstetrics hemorrhage was the first deadly cause, and the major influencing factor was personal family knowledge and technique.Conclusion Home birth women are high risk population of maternal death.Pregnant women' s family income, culture degree, knowledge of health policies are important influencing factors of prenatal care service using.It is necessary for government to give health education and policy support on poor and low educated women, so as to improve hospital delivery rate and reduce maternal mortality.
