Abstract：Objective To investigate the dynamic changing trend of maternal death from obstetric hemorrhage in Jilin province from 2014 to 2018, to analyze the constituent ratio ofcause of death and related affecting factors and to put forward feasible intervention measures so as to ensure maternal and child safety. Methods The data regarding monitoring and evaluation results of 41 cases of maternal death from obstetric hemorrhage during 2014-2018 were collected from the provincial three-level maternal and child health care network. Descriptive statistical method was used to analyzethe cause constituent ratioand related characteristics of maternal death from obstetric hemorrhage. The chi-square test for linear trend was used to analyze the changing trend of maternal mortality rate of obstetric hemorrhage. Results One hundred and forty-eight cases of maternal death occurred in Jilin province during the 5-year period, of which 41 maternal death cases was due to obstetric hemorrhage, accounting for 27.7% of the total deaths. The first cause of maternal death due to obstetric hemorrhage was uterine atony (36.6%), followed by uterine rupture (22.0%) and soft birth canal laceration (17.1%). Dwelling in rural areas, advanced age, low educational level, high number of pregnancies and weak skills in grass-root obstetric care were the important causes of death from obstetric bleeding. The evaluation results indicated that 97.6% of maternal death cases due to obstetric hemorrhage were avoidable. Conclusions Enhancing technical training for obstetric personnel, attaching importance to the changes of fertility policy and fully implementing the five-point system for maternal and infant safety are the key measures to reduce maternal death caused by obstetric hemorrhage.
姜停停, 易立岩, 万立新. 吉林省2014—2018年孕产妇产科出血死亡相关因素分析[J]. 实用预防医学, 2020, 27(3): 319-322.
JIANG Ting-ting, YI Li-yan, WAN Li-xin. Factors related to maternal death from obstetric hemorrhage in Jilin province, 2014-2018. , 2020, 27(3): 319-322.
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2020, Vol. 27 
