Abstract：Objective To investigate the epidemic status of maternal near miss and its determinants in Hunan Province so as to provide scientific evidence for reducing maternal mortality. Methods Medical records of pregnant women hospitalized in five hospitals in Changsha City, including two hospitals at provincial level, one at manucipal level and two at county level, during January 2012 and June 2013 were collected by stratified-cluster sampling method. The total of 15,252 pregnant women were divided into the case control and control group according to the diagnosis of maternal near miss. Univariate chi-square test or Fisher’s exact probability test and multivarate non-conditional logistic regression analysis were used to explore the determinants of maternal near miss. Results Totally, 47 maternal near miss cases were identified among the 15,252 pregnant women, with the incidence of 3.08%. Disorders leading to maternal near miss were in turn hemorrhage (36.2%), hypertension (29.8%), anemia(21.3%) and infection(14.9%). Lower educational level of high school/special secondary school (OR=2.810), of junior high school (OR=4.096) and having no prenatal care (OR=2.412) were risk factors of maternal near miss. Conclusions Educational level and prenatal care are factors associated with maternal near miss. Following the norms of and disseminating knowledge of maternal prenatal health care among pregnant women with poor education may be important measures to prevent the occurrence of maternal near miss.
刘智昱,王爱华,孔繁娟. 湖南省危重孕产妇发生率及影响因素[J]. 实用预防医学, 2016, 23(7): 791-793.
LIU Zhi-yu, WANG Ai-hua, KONG Fan-juan. Incidence of maternal near miss and its determinants in Hunan Province. , 2016, 23(7): 791-793.
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