Abstract:Objective To study the dynamic changing trend and causes of maternal deaths in Zhengzhou City so as to provide scientific evidence for developing intervention measures to further reduce the maternal mortality in Zhengzhou City. Methods The data of maternal deaths from monitoring points of each city (county/district) in Zhengzhou City from 2006 to 2015 were analyzed retrospectively. Results The maternal mortality in Zhengzhou City decreased from 38.80/100,000 in 2006 to 15.22/100,000 in 2015, with the decreasing amplitude of 60.77% and the annual decreasing rate of 6.08%. Linear trend chi-square test showed that the maternal mortality showed a decreasing trend (χ2=41.757, P<0.05). The top 3 causes of maternal deaths were obstetrical hemorrhage, amniotic fluid embolism, heart disease and pulmonary embolism. The proportion of maternal deaths induced by obstetrical hemorrhage decreased from 25.20% during 2006-2010 to 15.49% during 2011-2015, while the proportion of indirect obstetric deaths increased from 46.46% during 2006-2010 to 63.38% during 2011-2015. Conclusions The maternal mortality in Zhengzhou City shows a decreasing trend from 2006 to 2015. In order to further reduce maternal mortality, it is necessary to intensify maternal system management, high-risk pregnancy management and multidisciplinary collaboration, early screen and intervene pregnancy complications, and improve the ability of grass-roots medical staff to early identify and deal with obstetric critical diseases.
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