三级转诊医院孕产妇死亡率趋势及“贾纳尼·苏拉卡莎·尤佳娜”（JSY）对孕产妇死亡率的影响
Trends in Maternal Mortality and Impact of Janani Suraksha Yojana (JSY) on Maternal Mortality Ratio in a Tertiary Referral Hospital.
作者信息
Guin Gita, Sahu Bharti, Khare Shashi, Kavishwar Arvind
机构信息
Department of Obstetrics & Gynaecology, Govt. NSCB Medical College, Jabalpur, MP India.
出版信息
J Obstet Gynaecol India. 2012 Jun;62(3):307-11. doi: 10.1007/s13224-012-0221-1. Epub 2012 Aug 1.
OBJECTIVE
To analyse the impact of Janani Suraksha Yojana (JSY) on Maternal Mortality Ratio (MMR).
DESIGN
Retrospective analysis of maternal mortality.
METHODS
Analysis of all maternal deaths between January 2001 and December 2009.
RESULTS AND DISCUSSION
The total number of deliveries has been steadily rising from 1,685 in 2001 to 3,957 in 2009. The MMR doubled from 1,500/100,000 live births in 2001 to 3,000/100,000 live births in 2006, then declined to 2,464/100,000 live births in 2009. Implementation of the various maternity benefit schemes has had no significant impact on the profile of dying mothers-admission-to-death interval. Deaths due to anemia and eclampsia have significantly increased (P < 0.05), whereas due to sepsis (P < 0.001) and hemorrhage (P < 0.05), deaths have significantly decreased. Almost 96 % of dying subjects received inadequate antenatal care. However, significantly less number (P < 0.001) of women are delivering at home.
CONCLUSIONS
There is a need to stress the importance of good antenatal care in reducing MMR.
目的
分析“贾纳尼·苏拉卡莎·尤贾纳”（JSY）对孕产妇死亡率（MMR）的影响。
设计
孕产妇死亡率的回顾性分析。
方法
分析2001年1月至2009年12月期间所有的孕产妇死亡情况。
结果与讨论
分娩总数从2001年的1685例稳步上升至2009年的3957例。孕产妇死亡率从2001年的每10万例活产1500例翻倍至2006年的每10万例活产3000例，随后在2009年降至每10万例活产2464例。各种孕产妇福利计划的实施对死亡孕产妇的入院至死亡间隔情况没有显著影响。贫血和子痫导致的死亡显著增加（P<0.05），而败血症（P<0.001）和出血（P<0.05）导致的死亡显著减少。近96%的死亡孕产妇接受的产前护理不足。然而，在家分娩的妇女数量显著减少（P<0.001）。
结论
有必要强调良好的产前护理在降低孕产妇死亡率方面的重要性。
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