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目的:探讨江西省近5年孕产妇死亡相关因素的变化趋势和特点,为政府部门制定相关的政策提供科学依据。方法:在全省孕产妇死亡监测网内采用以人群为基础的流行病学调查方法。结果:近5年江西省孕产妇死亡率持续下降,下降幅度为34.9%;农村、城市孕产妇死亡率差距减小,2012年城市孕产妇死亡率(18.22/10万)超过农村(11.5/10万);产科出血(18.4%)仍是孕产妇死亡的主要原因;间接产科原因导致的孕产妇死亡比例上升,2012年间接产科原因(52.6%)超过直接产科原因(47.4%)。结论:关注城市孕产妇健康、加强产科出血的防治、提高产科医生识别和处理妊娠合并症的能力、加强产科与相关科室的协作、严格执行高危孕产妇分级管理及转诊制度等是降低孕产妇死亡率的突破点。
Objective: To explore the changing trend and characteristics of the related factors of maternal mortality in Jiangxi Province in recent five years, and to provide a scientific basis for government departments to formulate relevant policies. Methods: A population-based epidemiological investigation method was adopted in the province’s maternal death monitoring network. Results: In the recent 5 years, the maternal mortality rate in Jiangxi Province continued to decline, with a decrease of 34.9%. The gap between maternal mortality rate in rural areas and urban areas decreased. In 2012, the maternal mortality rate (18.22 / 100000) in urban areas exceeded that in rural areas (11.5 / 10 The proportion of maternal deaths due to indirect obstetric causes increased. In 2012, indirectly obstetric reasons (52.6%) exceeded direct obstetric reasons (47.4%). CONCLUSIONS: Concerned about the maternal health in urban areas, strengthening the prevention and treatment of obstetric hemorrhage, improving the ability of obstetricians to identify and handle pregnancy complications, strengthening the cooperation between obstetrics and relevant departments, and strictly implementing the high-risk maternal classification management and referral system are the key measures to reduce maternal Breakthrough point in mortality.