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目的:分析影响昆明市流动人口中孕产妇死亡的相关因素。方法:收集整理昆明市2008-2011年孕产妇死亡监测个案及市级孕产妇死亡评审资料118份,重点分析影响流动人口中孕产妇死亡的相关因素,并与本地死亡孕产妇组进行对比。结果:2008-2011年昆明市流动人口孕产妇65 652例,死亡57例,死亡率86.82/10万;昆明市本地户口孕产妇死亡率38.35/10万。流动人口孕产妇死亡年龄最小15岁,最大43岁,其中≥35岁占26.3%,文化程度小学和文盲占63.2%,年人均收入≤4 000元占52.6%。计划外怀孕、未产前检查的人数高于本地组(P<0.01),在县级及以上医疗机构分娩人数低于本地组(P<0.01),家中分娩高于本地组(P<0.05),就诊延误的孕产妇高于本地组(P<0.05)。结论:应完善适应流动人口孕产妇保健的管理规范和运行模式,提高流动孕产妇建册率、产前检查率及住院分娩率;加强对流动人口孕产妇的健康教育,提高其主动接受孕产妇保健服务意识。
Objective: To analyze the related factors that affect maternal mortality among floating population in Kunming. Methods: We collected and collected 118 cases of maternal deaths from 2008 to 2011 and the assessment data of maternal deaths at the municipal level from 2008 to 2011 in Kunming City. We focused on the analysis of the related factors affecting the maternal death among floating population and compared them with the local death maternal group. Results: 65 652 pregnant women in floating population in Kunming from 2008 to 2011 were 57 deaths with a mortality rate of 86.82 / 100 000. The maternal mortality rate in local accounts of Kunming City was 38.35 / 100 000. The youngest of the floating population is maternal death, the youngest 15 years old, the oldest 43 years old, of which ≥35 years old, accounting for 26.3%, primary education and illiteracy accounted for 63.2%, annual per capita income ≤ 4000 yuan, accounting for 52.6%. The number of unplanned pregnancies and prenatal examinations was higher than that of the local group (P <0.01). The number of deliveries was lower in the medical institutions at the county level and above than those in the local group (P <0.01) , Maternal delayed treatment was higher than the local group (P <0.05). Conclusions: The management practices and operation mode of maternal health should be perfected and adapted to the floating population, improve the mobile maternal establishment rate, prenatal checkup rate and hospital delivery rate; strengthen the health education of floating population maternal and improve their active acceptance of pregnant women Health care awareness.