山东省2007~2013年孕产妇死亡率的变化及预测

发布时间：2018-05-14 03:20

本文选题：孕产妇 + 死亡率　；参考：《现代妇产科进展》2015年02期

【摘要】：目的:分析孕产妇死亡率的变化规律,为进一步降低孕产妇死亡率提供参考依据。方法:回顾调查分析2007~2013年山东省孕产妇死亡监测点资料,并进行自回归滑动平均模型死亡率预测。结果:7年孕产妇死亡率依次为20.91/10万、20.85/10万、22.24/10万、21.13/10万、20.59/10万、18.94/10万和16.80/10万,平均为19.53/10万,年平均下降率为3.58%;预测2014年孕产妇死亡率为14.11/10万。前3位死因为产科出血、妊娠合并心脏病、肺栓塞。分娩地点、死亡地点、孕产妇产前检查情况、家庭人均年收入及文化程度对其死亡有影响。评审结果显示,50.82%的死亡孕产妇是可避免的。结论:山东省孕产妇死亡率下降速度减慢,处于平台期。实现孕产妇死亡率进一步降低有赖于提高产科服务能力、提升社会经济水平、提高孕产妇及家属认知与识别能力等综合措施的共同干预。
[Abstract]:Objective: to analyze the change of maternal mortality and to provide reference for further reducing maternal mortality. Methods: the data of maternal mortality monitoring points in Shandong Province from 2007 to 2013 were analyzed retrospectively, and the mortality rate was predicted by autoregressive moving average model. Results: the maternal mortality rate in seven years was 2091 / 100 000, 2085 / 100 000, 22.4% / 100 000 or 2001,900 / 100 000 and 20.59% / 100 000 respectively, with an average of 19.53% / 100 000 and an annual average decline rate of 3.58%, and the maternal mortality rate in 2014 was predicted to be 141,111 / 100 000, with an average of 19.53% / 100 000 and 16.80% / 100 000 respectively, and the maternal mortality rate in 2014 was predicted to be 141.1% / 100 000. The first three deaths were due to obstetric bleeding, pregnancy with heart disease, pulmonary embolism. The place of delivery, the place of death, the antenatal examination of pregnant and lying-in women, the per capita income of family and the education level have influence on their death. The results showed that 50.82% of maternal deaths were avoidable. Conclusion: the decline of maternal mortality in Shandong Province is slow and at the plateau stage. Further reduction of maternal mortality depends on the joint intervention of comprehensive measures such as improving obstetrical service ability, improving social and economic level, and improving the cognition and recognition ability of pregnant women and their families.
【作者单位】：潍坊医学院公共卫生学院;山东省医药卫生科技信息研究所;山东省妇幼保健院;山东妇幼卫生发展研究中心;
【分类号】：R173

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