【摘要】 目的对宝安区孕产妇死亡主要发生在流动人群这一特殊性,进行干预措施前后分析,为进一步减少孕产妇死亡提供决策依据。方法针对导致特殊人群孕产妇死亡原因的变化趋势,制定干预措施,对宝安区2000年1月1日—2005年12月31日发生死亡的孕产妇进行分析。结果流动人口孕产妇死亡率远高于常住人口的孕产妇死亡率,孕产妇死亡发生率6年平均分别为:流动人口90.19/10万、常住人口15.17/10万。导致孕产妇死亡的主要原因前5位顺位为产科出血、羊水栓塞、妊娠高血压综合征、妊娠合并心脏病、妊娠合并肝炎等,前四年第1位死因均为产科出血,近两年羊水栓塞跃居第一位。实施干预措施后,流动人口孕产妇死亡率2005年与2000年比较大幅度下降,从2000年的212.99/10万下降到2005年的53.53/10万,在2000年基础上下降超过3/5。结论实施干预措施对降低流动人口孕产妇死亡率具有重要作用。更多还原

【Abstract】 OBJECTIVE According to the fact that maternal mortality in Bao’an District primarily in the nature of population flows,analsising intervention measures,to further provide the basis for decision!making to reduce maternal mortality.METHODS Targeting the reason lead to special groups of maternal mortality changes trends,developing interventions,analsising materal deaths in Bao"an district from January 1,2000 to December 31,2005.RESULTS The maternal mortality is far higher in mobile resident population than resident population,the average incidence of maternal mortality in six years:floating population:90.19/100 000,resident popula-tion:15.17/100 000.The five main reasons lead to maternal death is:Obstetric heamorrhage,amniotic fluid embolism,pregnancy hypertension syndrome,pregnancy combined heart disease,pregnancy combined hepatitis and so on.The first cause of death is obstet-ric heamorrhage from 2000 to 2005,but amniotic fluid embolism became the main cause in next two years.After the implementation of interventions,the maternal mortality is significant decline in 2005 years,compared with 2000 years,from 2000 212.99/100,000 to 2005 53.53/100 000,decline more than three!fifths.CONCLUSION Implementation of interventions play an important role to reduce maternal mortality in floating population.更多还原