中国妇幼健康研究2017，Vol.28Issue(7)：853-855,3.DOI:10.3969/j.issn.1673-5293.2017.07.032
2001至2014年我国孕产期保健服务现状及效果分析
Maternal health care service status and effect in China in 2001-2014
康洪霞 1王奇娟 1刘秋明 1李京佳1
作者信息
- 1. 北京市大兴区妇幼保健院,北京 102600
- 折叠
摘要
Abstract
Objective To analyze the status and effect of maternal health care service in China in 2001-2014 and to discuss the correlation between health service index and maternal and prenatal mortality rate.Methods Dynamic series and multiple rank-sum test were respectively used to analyze time trends and regional difference in health service index,and correlation between service index and maternal and prenatal mortality rate was explored.Results Every maternal health service index in China in 2001-2014 presented a uptrend, among which hospital delivery rate increased most quickly with average increase rate of 2.10%.There was still significant difference in hospital delivery rate and new-method delivery rate among different regions in 2014 (χ2 value was 22.587 and 21.357, respectively, both P<0.05).At the same time maternal and perinatal mortality rate had a downtrend, with average annual decline rate of 6.25% and 6.73%, respectively.In 2014, difference in above two indexes among different regions was still significant (χ2 value was 17.856 and 14.455, respectively, both P<0.05).Maternal and perinatal mortality rate had strong negative correlation with health service indexes (rs value ranged from 0.776 to 0.996, all P≤0.001), and correlation between maternal and perinatal mortality rate and hospital delivery rate and new-method delivery rate was most strong.Conclusion Regional difference is still found in hospital delivery rate, new-method delivery rate, maternal and perinatal mortality rate in China in 2014, indicating needs for improving fairness and availability of maternal health service and narrowing regional difference in maternal and perinatal mortality rate.关键词
孕产妇死亡率/围生儿死亡率/孕产期保健/住院分娩率Key words
maternal mortality rate(MMR)/perinatal mortality rate(PMR)/maternal health care/hospital delivery rate分类
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康洪霞,王奇娟,刘秋明,李京佳..2001至2014年我国孕产期保健服务现状及效果分析[J].中国妇幼健康研究,2017,28(7):853-855,3.
