Changing trends in maternal mortalities and their influencing factors in Xinjiang region, 2007-2018
WANG Jin-peng1, ZHANG Wen-jie2, WANG Xiao-li2, MA Zhong-hua1
1. National Center for Women and Children's Health, Chinese Center for Disease Control and Prevention, Beijing 100089, China; 2. Maternal and Child Health Hospital of Xinjiang Uygur Autonomous Region, Urumqi, Xinjiang 830002, China
Abstract：Objective To analyze the changing trends and influencing factors of maternal mortalities in Xinjiang region from 2007 to 2018, and to provide scientific evidence for further decrease of the maternal mortality. Methods We described the maternal mortalities, major causes of deaths and status of maternal healthcare services in Xinjiang region from 2007 to 2018. Spearman rank correlation was used to analyze the association between the maternal mortalities and the indictors of maternal healthcare services. Partial least squares regression was used to analyze factors affecting the maternal mortalities. Results The maternal mortalities decreased from 73.7/100,000 in 2007 to 26.8/100,000 in 2018 in Xinjiang region, with the average annual reduction rate of 8.78%. The indicators of maternal healthcare services showed an upward trend year by year (P<0.01). The maternal mortalities were negatively correlated with the indicators of maternal healthcare services, and the top three indicators were the hospital delivery rate (r=-0.945, P<0.001), the antenatal examination rate (r=-0.933, P<0.001) and the postpartum visit rate (r=-0.901, P<0.001). The most influential factor of the maternal mortalities was the hospital delivery rate, followed by the antenatal examination rate. Conclusion The maternal mortalities in Xinjiang region in 2007-2018 displayed a decreasing trend, but still remained at a higher level. It is necessary to improve the systematic management quality of obstetric services, strengthen the early warning and grading management of high-risk pregnancy, improve the technical level of grass-roots medical staff and enhance the workconcerning maternal antenatal examination and hospital delivery so as to further decrease the maternal mortality in Xinjiang region.
汪金鹏, 张文婕, 王小丽, 马忠华. 2007—2018年新疆地区孕产妇死亡率变化趋势及影响因素分析[J]. 实用预防医学, 2021, 28(6): 688-690.
WANG Jin-peng, ZHANG Wen-jie, WANG Xiao-li, MA Zhong-hua. Changing trends in maternal mortalities and their influencing factors in Xinjiang region, 2007-2018. , 2021, 28(6): 688-690.
2021, Vol. 28 
