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目的分析2004年10月~2014年9月(按照妇幼卫生年报“3+1”上报模式:上一年度第4季度加上本年度前3个季度数据作为本年度数据)兰州市孕产妇死亡与孕产妇保健服务利用之间的关系,为进一步提高妇幼保健工作质量、降低孕产妇死亡提供科学依据。方法对兰州市孕产妇保健管理情况年报表及孕产妇死亡卡进行回顾性整理分析。结果 10年来兰州市孕产妇死亡81例,死亡率总体呈下降趋势,2014年孕产妇30 767例,死亡5例,死亡率为16.25/10万,2005年孕产妇数为26 034例,死亡7例,死亡率26.89/10万;孕产妇保健服务率总体呈逐年上升趋势。2014年产前检查率、孕早期检查率、产后访视率、孕产妇系统管理率、住院分娩率较2005年分别有所上升。结论孕产妇保健服务的提高对降低孕产妇死亡率有着重要的关系;未来的工作重点依旧强调做好孕产妇保健服务工作。
Objective To analyze the data of maternal and child health annual report “3 + 1” escalation mode: the fourth quarter of the previous year plus the first three quarters of this year as the current year’s data.) Maternal mortality and The relationship between maternal health care utilization and utilization will provide a scientific basis for further improving the quality of maternal and child health care work and reducing maternal mortality. Methods Retrospective analysis of maternal health management status report and maternal death card in Lanzhou City. Results In the past 10 years, 81 maternal deaths occurred in Lanzhou City. The overall mortality rate showed a downward trend. In 2014, there were 30,767 pregnant women and 5 deaths. The death rate was 16.25 / 100,000. The number of pregnant women in 2005 was 26 034 and the death rate was 7 For example, the death rate was 26.89 / 10 million; the maternal health service rate showed an overall increasing trend year by year. In 2014, the rate of prenatal examination, examination rate in early pregnancy, postpartum visit rate, maternal system management rate and hospital delivery rate increased respectively from 2005. Conclusions The improvement of maternal health care services has an important relationship with the reduction of maternal mortality. The focus of future work is still stressing on maternal health care services.