Analysis of Maternal Mortality in Changsha City from 2001 to 2010

Objective To study the data of maternal death in Changsha City from 2001 to 2010,to analyze the change tendency,main reasons and regularity of maternal mortality,and to provide a scientific basis for developing intervention measures. Methods The death reporting cards,death survey reports,and the evaluation results in Changsha City from 2001 to 2010 were collected and analyzed retrospectively. Results In ten years,the average maternal mortality in Changsha City was 20.46/100,000,the whole level was decreased(P0.01),and the declined tendency of maternal mortality in rural areas was more obvious than that in urban areas.The average maternal mortalities of urban and rural areas were 9.52/100,000 and 24.79/100,000,respectively;the mortality of urban areas was significantly lower than that of rural areas(P0.01).The maternal mortality was dropped with the rising of hospitalization rate.The main factors of maternal death were obstetric hemorrhage,pregnancy with internal and surgical diseases,hypertensive disorder complicating pregnancy,and amnionic fluid embolism.As the first factor affecting maternal death,obstetric hemorrhage had superseded pregnancy with internal and surgical diseases. Conclusions The effective countermeasures to reduce the maternal mortality are as follows: strengthening maternal care and management,perfecting the maternal and child health network,raising hospital delivery rate,enhancing the management of high-risk pregnancy,and improving the maternal-emergency ability of township and county health care centers.