| Objective:There are nearly 830 women die of the complications of pregnancy or childbirth all around world in one day.According to the estimate of WHO,303 thounsand women were died during pregnancy and childbirth in 2015.It becomes a global public health problems that must be solved.MMR is one of the comprehensive indicators of social and economic development.Through the analysis of maternal mortality of Changchun during 2006-2015,discuss the change regulation of maternal death in "11th Five-Year" and "12th Five-Year".Analyze the main influence factors of the main cause of maternal death,thereby reducing maternal mortality,provide basic data and improvement measures for Jilin province to reduce the maternal mortality rate.Methods:Take 112 cases of maternal death of Changchun in 2006-2015 as the research object,collect and sort out the cases of maternal death,the investigation report and the assessment of the death of the pregnant women by using the method of retrospective.Analysis the factor of changes of maternal death and influence,put forward suggestions and measures to reduce maternal mortality.Results:There are 112 cases of maternal mortality of Changchun in 2006-2015,the average maternal mortality rate of 20.34/10 million,maternal mortality from 2006 20.34/10 million down to 2015 8.14/10 million.The maternal mortality rate during the "12th Five-Year" period was 53.05% lower than in 11 th Five-Year.The maternal mortality rate in rural areas is higher than that in urban areas,but the period of 12 th Five-Year is lower than that of 11 th Five-Year.The education level of the maternal mortality is low,the following education level account for 73.21% are the junior high school.The low economic level,and the annual per capita income of the family which below 2000 yuan,accounting for 39.29%.During pregnancy,the rate of health care was 86.61%,and the rate of pregnancy care reached 100% during the period of 12 th Five-Year.38.39% of the pregnant women chose to deliver in the provincial and municipal hospitals,and during the period of 12 th Five-Year,the pregnant women who delivered in the provincial and municipal hospitals reached 51.35%.The rate of caesarean section reached 55.35%,and the cesarean section rate changed little in two five years.The location of the death was in the provincial and municipal hospital,accounting for 69.64%.The cause of indirect obstetric death was higher than that of direct obstetric death,accounting for 57.14%.The indirect obstetric cause of death was 21.62% higher during the period of 12 th Five-Year than in 11 th Five-Year.The most serious cause of death was postpartum hemorrhage,accounting for 11.61% of pregnancy induced hypertension and 17.86% with congenital heart disease in third pregnancies,accounting for 8.04%."Personal,family,and community knowledge and skills" was the primary influencing factor,accounting for 25%.Medical delays during the 12 th Five-Year period were somewhat lower than in the 11 th Five-Year period.There were 54 cases of avoidable death,accounting for 48.21%.Inevitable death was 58 cases,accounting for 51.79%.During the period of 12 th Five-Year,the death rate was higher than that of 11 th Five-Year.Conclusions:1.The maternal mortality in Changchun showed the downward trend during 2006-2015 years,the proportion of maternal mortality in city was increased,education and economic level of death maternal were improved;2.Postpartum hemorrhage is still the main cause of maternal death in Changchun,and the proportion of indirect obstetric death is higher.Pregnancy combined with congenital heart disease is the most important indirect obstetric cause of death;3."Personal,family and community knowledge and skills" is the most important factor affecting maternal mortality in Changchun;4.Hospitals at all levels for the treatment of pregnant women "medical delays" gradually reduced,the inevitable death rate increased year by year;5.Changchun maternal mortality decline in "12th Five-Year" that compared with "11th Five-Year",the total urban and rural death constitutes the same trend;the economic level is rising,but is still low;prenatal care rate reached 100%;The direct obstetric deaths in decline,the indirect obstetric causes is rising,the inevitable death rate is rising. |
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