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目的:分析新疆孕产妇死亡的主要原因及其影响因素并提出干预措施。方法:对新疆14个省级妇幼卫生监测县2004～2006年的189例孕产妇死亡资料进行回顾性分析。结果:14个省级妇幼卫生监测县2004～2006年的平均孕产妇死亡率为143.22/10万,其中产科出血占39.15%,妊娠期高血压疾病占27.51%,妊娠合并内科疾病占18.52%,产褥感染占5.29%;189例死亡孕产妇中住院分娩率为33.52%,死前就诊比例为48.15%,接受过产前检查者占72.49%,可避免死亡占93.75%,影响孕产妇死亡的主要因素中医疗保健人员知识技能问题占39.70%,个人家庭的知识技能问题占15.50%。知识技能问题在医疗保健部门的分布县级医疗保健机构占65.20%。结论:新疆孕产妇死亡率高于全国平均水平,产科出血、妊娠期高血压疾病、妊娠合并内科疾病和产褥感染是新疆孕产妇死亡的主要疾病。
Objective: To analyze the main causes of maternal death in Xinjiang and its influencing factors and to propose intervention measures. Methods: A retrospective analysis was conducted on 189 maternal deaths from 2004 to 2006 in 14 provincial MCH counties in Xinjiang. Results: The average maternal mortality rate in MCH counties from 2004 to 2006 was 143.22 / 100 000, of which 39.15% were obstetric bleeding, 27.51% were hypertensive disorders during pregnancy, 18.52% were complicated by medical problems during pregnancy, The rate of puerperal infection accounted for 5.29%; 189 cases of pregnant women in hospital delivery rate was 33.52%, 48.15% before death, 72.49% received prenatal examination, avoidable death accounted for 93.75%, affecting maternal mortality The main factors of knowledge and skills of health care workers accounted for 39.70% of the individual family knowledge and skills problems accounted for 15.50%. Distribution of knowledge and skills issues in the healthcare sector County-level healthcare facilities accounted for 65.20%. Conclusion: The maternal mortality rate in Xinjiang is higher than the national average. Obstetric bleeding, pregnancy-induced hypertension, pregnancy-associated medical diseases and puerperal infection are the major maternal deaths in Xinjiang.