| 吴鹏,陶婷,彭敏丹,许茜,郑洁,吴仕元.岳阳市2011年至2018年孕产妇死亡变化趋势分析与干预对策.[J].中南医学科学杂志.,2020,(1):24-27. |
| 岳阳市2011年至2018年孕产妇死亡变化趋势分析与干预对策 |
| Trend analysis and intervention countermeasures of maternal death in Yueyang city from 2011 to 2018 |
| 投稿时间：2019-05-15 修订日期：2019-10-27 |
| DOI：10.15972/j.cnki.43-1509/r.2020.01.007 |
| 中文关键词: 孕产妇死亡率 死亡原因 变化趋势 |
| 英文关键词:maternal mortality cause of death trend of change |
| 基金项目: |
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| 中文摘要: |
| 回顾分析2011年至2018年间岳阳市孕产妇死亡死因与相关因素变化趋势,为母婴安全干预措施提供科学依据。2011年至2018年岳阳市共计发生孕产妇死亡70例,死亡率为14.51/10万,从2011年的24.94/10万下降至2017年的10.78/10万,2018年为0。可避免死亡43例,占61.43%,不可避免死亡27例,占38.57%。70例孕产妇死亡中,直接产科原因34例,占48.75%,间接产科原因36例,占51.43%。直接产科原因中,羊水栓塞14例,占20.00%；产后出血12例,占17.14%；妊娠高血压疾病5例,占7.14%。间接产科原因36例,间接产科原因中妊娠合并心脏病7例,占10.00%,妊娠合并脑血管疾病6例,占8.57%；然后为妊娠合并其它疾病。2011—2018年间岳阳市孕产妇死亡率明显下降,与本地区从多层面、多维度加强干预与管理、有效实施母婴安全行动密切相关。 |
| 英文摘要: |
| Review and analyze the data of the causes of death and related factors of maternal mortality in Yueyang City from 2011 to 2018 to provide scientific basis for the development of maternal and child safety intervention measures. From 2011 to 2018, there were 70 maternal deaths in Yueyang city, with a mortality rate of 14.51/100,0, which dropped from 24.94/100,0 in 2011 to 10.78/100,0 in 2017 and 0 in 2018. 43 cases can be avoided, accounting for 61.43%, and 27 cases are inevitably dead, accounting for 38.57%. Among the 70 maternal deaths, 34 were direct obstetric causes, accounting for 48.75%, and 36 were indirect obstetric causes, accounting for 51.43%. Among the causes of direct obstetrics, 15 cases of amniotic fluid embolism, accounting for 21.43%; 12 cases of postpartum hemorrhage, accounting for 17.14%; 5 cases of pregnancy-induced hypertension, accounting for 7.14%. There were 36 cases of indirect obstetric reasons, 7 cases of pregnancy with heart disease in indirect obstetric reasons, accounting for 10%, and 6 cases of pregnancy complicated with cerebrovascular disease, accounting for 8.57%; then pregnant with other diseases. The maternal mortality rate in Yueyang city decreased significantly between 2011 and 2018, which is closely related to the multi-faceted and multi-dimensional intervention and management and the effective implementation of maternal and child safety actions. |
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