| 沈汝(木冈),杨惠娟,李禾,何芳,丁辉,邓小虹,肖珣,刘钢.北京市孕产妇与流动人口孕产妇1995-2004年死亡分析[J].Chinese journal of Epidemiology,2006,27(3):223-225 |
| 北京市孕产妇与流动人口孕产妇1995-2004年死亡分析 |
| Study on the maternal mortality ratio from1995 to 2004 among residential and migrant women in Beijing |
| Received:April 28, 2005 |
| DOI： |
| KeyWord: 孕产妇 死亡率 流动人口 |
| English Key Word: Maternal Mortality ratio Migrant |
| FundProject:首都医学发展科研基金资助项目(2002-1002) |
| Author Name | Affiliation | | SHEN Ru-gang | Capital Medical University Affixed Beijing Obstetric and Gynecology Hospital Beijing Maternal and Child Health Hospital, Beijing 100026, China | | YANG Hui-juan | Capital Medical University Affixed Beijing Obstetric and Gynecology Hospital Beijing Maternal and Child Health Hospital, Beijing 100026, China | | LI He | Capital Medical University Affixed Beijing Obstetric and Gynecology Hospital Beijing Maternal and Child Health Hospital, Beijing 100026, China | | HE Fang | Capital Medical University Affixed Beijing Obstetric and Gynecology Hospital Beijing Maternal and Child Health Hospital, Beijing 100026, China | | DING Hui | Capital Medical University Affixed Beijing Obstetric and Gynecology Hospital Beijing Maternal and Child Health Hospital, Beijing 100026, China | | DENG Xiao-hong | 北京市卫生局 | | XIAO Xun | 北京市卫生局 | | LIU Gang | Capital Medical University Affixed Beijing Obstetric and Gynecology Hospital Beijing Maternal and Child Health Hospital, Beijing 100026, China |
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| Abstract: |
| 目的 分析北京市孕产妇与流动人口孕产妇死亡资料, 为制定干预措施提供依据。方法 采用回顾性调查方法, 对北京市1995-2004年孕产妇死亡病例及评审资料进行分析。 结果 该期间北京市户籍孕产妇死亡率为17.9/10万, 流动人口死亡率为51.3/10万。 北京市孕产妇死因依次为栓塞(21.2%)、妊高征(18.3%)、产科出血(14.4%)和心脏病/异位妊娠(9.6%)。流动人口孕产妇死因依次为产科出血(25.2%)、栓塞(19.7%)、妊高征(17.3%)和肝病(9.5%)。 孕产妇可避免死亡占18.9%, 创造条件可避免死亡占37.7%, 不可避免死亡占43.4%。 结论 北京市户籍孕产妇死亡率已接近发达国家水平, 流动人口孕产妇保健管理亟待加强。 取缔非法接生、加强医务人员的培训及人才培养、提高医疗机构处理妊娠合并症及异位妊娠的急救抢救能力,是今后干预的重点。 |
| English Abstract: |
| Objective To analyze the maternal mortality ratio ( MMR) of residential and migrant
women in Beijing. Methods A retrospective study from 1995 to 2004 was performed to analyze data from
the maternal death cases. Results The MMR of resident and migrant of Beijing from 1995 to 2004 were
17.9 and 51.3 perten thousand respectively. The main reasons of maternal deaths among residents were
embolism ( 21.2%), hy pertensive disorder complicating pregnancy ( 18.3%), postpar tum hemorrhage
( 14.4%) and ectopic pregnancy/ heart disease( 9.6%). The main reasons of migrant maternal deaths were
postpartum hemorrhage ( 25.2%), embolism ( 19.7%), hyper tensive disorder complicat ing pregnancy
( 17.3%) and liver disease( 9.5%). The avoidable deaths were accounted for 18.9%. Conclusion The
MMR in Beijing local residents was close to that in developed countries. To further reduce MMR in Beijing
would depend on the better administration of related issues among floating population. Poor quatily delivery
must be banned together with strengthening the training programs on health workers. It is also important
to improve the know ledge and skills of medical staff for rescuing the complications of pregnancy and ectopic pregnancy. |
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