Shen Ru-gang, Yang Hui-juan, Li He, He Fang, Ding Hui, Deng Xiao-hong, Xiao Xun, Liu Gang
Capital Medical University Affixed Beijing Obstetric and Gynecology Hospital Beijing Maternal and Child Health Hospital, Beijing 100026, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2006 Mar;27(3):223-5.
To analyze the maternal mortality ratio (MMR) of residential and migrant women in Beijing.
A retrospective study from 1995 to 2004 was performed to analyze data from the maternal death cases.
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%.
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.
分析北京户籍及外来孕产妇的孕产妇死亡率(MMR)。
进行一项1995年至2004年的回顾性研究,以分析孕产妇死亡病例的数据。
1995年至2004年,北京户籍和外来孕产妇的MMR分别为每万人17.9例和51.3例。户籍孕产妇死亡的主要原因是栓塞(21.2%)、妊娠期高血压疾病(18.3%)、产后出血(14.4%)和异位妊娠/心脏病(9.6%)。外来孕产妇死亡的主要原因是产后出血(25.2%)、栓塞(19.7%)、妊娠期高血压疾病(17.3%)和肝病(9.5%)。可避免死亡占18.9%。
北京本地居民的MMR接近发达国家水平。要进一步降低北京的MMR,取决于更好地管理流动人口中的相关问题。必须禁止劣质分娩,同时加强对卫生工作者的培训项目。提高医务人员救治妊娠并发症和异位妊娠的知识和技能也很重要。