河南省1996年孕产妇死亡监测结果分析

河南省１７个孕产妇死亡监测网点１９９６年监测结果显示:全省平均孕产妇死亡率为８０．１２／１０万，其中城市地区平均死亡率为２５．７９／１０万，农村地区平均死亡率为１０２．５９／１０万，与１９９０年全省普查结果相比较，总死亡率下降了２０．０１％，较《９０年代中国儿童发展规划纲要》中要求的５年孕产妇死亡率降低２５％的目标相比还有一定差距，而城市孕产妇死亡率则明显下降达６１．３４％，农村孕产妇死亡率却居高不下。引起孕产妇死亡的死因顺位依次为:产科出血、妊高征、妊娠合并心脏病、产褥感染，与９０年相比较，产科出血引起的死亡率和死因构成比均明显下降，而妊高征引起的死亡则有所上升。连续准确地获得孕产妇死亡动态变化资料，为正确评价规划纲要实施情况及制定有效干预措施提供了可靠依据。本文结果提示:提倡住院分娩，加强适宜技术培训，提高基层妇幼保健人员业务素质及群众自我保健意识是降低孕产妇死亡率的重要措施.

An Analysis of Surveillance on Pregnant and Lying-in Women Death in Henan Province 1996

The data obtained from 17 selected points of Henan Province Showed that the mean rate of pregnant and lying-in women in 1996 was 80.12 per 100000,which decreased by 20.01% compared with the result in 1990.There was some disparity between this rate and the goal to reduce 25% in 5 years.The above rate in raral area was 102.59 Per 100000 which was higher than that in urban area 25.79 Per 100000.In order of the causes of pregnant and lying-in women death were as follows:hemorrhage,pregnancy induced hypertension,puerperal infections and etc.Compared with 1990,the mortality rate and constitute ratio caused by hemorrhage were decteased obviously,while the deaths caused by pre - eclampsia and eclampsia were increased.The results obtained from this investigation provided soma scientific basis for making effective measares to control these kinds of deatha of women. The authors suggested that the hospitalization delivery,good professional skills of primary obstetrics training course and etc should be strengthened.