【摘要】 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。更多还原

【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 per ten thousand respectively. The main reasons of maternal deaths among residents were embolism( 21.2%), hypertensive disorder complicating pregnancy( 18.3%),postpartum 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%), hypertensive disorder complicating 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 knowledge and skills of medical staff for rescuing the complications of pregnancy and ectopic pregnancy.更多还原