Abstract：Objective To analyze the changing trend and influencing factors of maternal mortality in China during 2000-2016 so as to provide decision-making supports for the government to conduct maternal and child health management. Methods We collected the data regarding the maternal mortality, proportion of systematically-managed high-risk puerperae, rate of registering in hospitals, systematic management rate, prenatal check rate, postpartum follow-up rate, hospital delivery rate and new midwifery rate in China during 2000-2016. The Cochran-Armitage trend test was employed to analyze the changing trend of each indicator. Spearman rank correlation analysis was applied to analyzing the relation between maternal health care indicators and maternal mortality. Multiple stepwise regression analysis was used to explore the main factors influencing maternal mortality. Results The maternal mortality in China during 2000-2016 showed a declining trend (Z=-7.75, P<0.01). The average annual declining rates of maternal mortality in rural and urban areas were 7.50% and 2.51% respectively. The maternal health care indicators presented increasing trends, and were negatively correlated with maternal mortality (all P<0.01). Multiple stepwise regression analysis indicated that proportion of systematically-managed high-risk puerperae and new midwifery rate were the major influential factors for maternal mortality. Conclusions The maternal mortality in China during 2000-2016 remarkably declined. The average annual decreasing rate of the maternal mortality was higher in rural areas than in urban areas, but the gap between rural and urban areas had been narrowed. Maternal health care, especially popularizing systematic management among high-risk puerperae and new midwifery is of great importance for improving maternal health.
白倩, 王溪, 郭艺玮, 王丹, 杨勇, 李硕, 石学峰. 2000－2016年中国孕产妇死亡率变化趋势及影响因素分析[J]. 实用预防医学, 2019, 26(8): 1020-1022.
BAI Qian, WANG Xi, GUO Yi-wei, WANG Dan, YANG Yong, LI Shuo, SHI Xue-feng. Changing trend and influencing factors of maternal mortality in China, 2000-2016. , 2019, 26(8): 1020-1022.
2019, Vol. 26 
