Analysis of maternal mortality in Mianyang City in 2001～2010-year

Objective To analyze the changing trend and influential factors of maternal mortality in Mianyang City and to approach effective interventions to reduce the maternal mortality rate in order to provide scientific basis for policy measures of the New Two Programs focusing on the maternal and children's health.Methods The data about the maternal mortality of resident population in Mianyang City from 2001 to 2010 were retrospectively analyzed.Results The city's overall maternal mortality rate of the resident population during the last 10 years was significantly decreased.Maternal mortality of 2000-year with 70.89/100,000 drop to 2010-year with 17.89/100,000 that the difference was significant(χ2=31.6,P0.05).The three causes of maternal death were obstetrical hemorrhage,pregnancy complications and hypertensive disorders in pregnancy(HDP).Among the maternal death,high-risk age accounted for 27.34%,primary and secondary educated accounted for 36.72% and 73.44% live in rural areas.About 66.41% of them did not receive standardized antenatal care services.Assessment results showed that 73.44% of maternal deaths could be avoided.Conclusion The maternal mortality rate of Mianyang City achieves the objectives and requirements presented in Development of China Women(2001~2010) that the maternal mortality rate declined by 1/4 on the basis of 2000,even though most maternal deaths can be avoided.In order to reduce maternal mortality rate to the lowest level by improving the coverage of prenatal care,prenatal care quality,hospital delivery rate and improving the overall quality of obstetric professionals and rescue capabilities,establishing and perfecting the consultation transfer obstetric system,effective referral system for maternal emergency services.