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外媒:中国孕妇死亡率升高 或因高龄女性拼生二孩

2016-10-06 08:25:52   参考消息


深圳一名怀孕近9个月的准妈妈赵女士在小区院内散步。新华社发

参考消息网10月6日报道境外媒体称,“全面二孩”政策落地以来,上半年中国孕产妇死亡率为18.3/10万,比去年同期增长了30.6%。

据新加坡《联合早报》网站9月30日报道,中国国家卫生计生委日前召开加强生育全程基本医疗保健服务视频会议,部署加强生育全程基本医疗保健服务。会议披露的数据显示,2015年全国孕产妇死亡率和婴儿死亡率,分别下降到20.1/10万和8.1%,比2000年分别下降62.1%和74.8%。但今年上半年中国孕妇死亡率不跌反升,比2015年同期上升30.6%,与2014年同期基本持平。

国家卫计委副主任马晓伟表示,孕产妇和婴儿死亡率经过多年快速下降,逐渐进入到平台期,降低的难度加大。

报道称,目前还无法确切证实孕产妇死亡率上升与“全面二孩”政策实施有关,但有医学界人士认为,政策加剧了妇产医疗资源的供求矛盾,同时生育年龄过大等因素也会增加孕产妇二次怀胎的健康风险。

香港《经济日报》网站9月30日刊登题为《高龄拼生二孩、医疗资源短缺内地产妇死亡率升3成》的报道称,医学界人士认为,全面二孩政策放开后,加剧妇产医疗资源供求失衡,高龄产妇也可能与孕妇死亡率增加有关。

国家卫计委表示,日前已专门召开会议,分析了目前妇幼健康服务面临的挑战,指出“生育需求快速增长,优质资源供给不足,专业技术人员短缺,孕妇死亡率有上升趋势”;并提出在“十三五”(2016至2020年)期间新增8.9万张产科床位,新增14万名产科护士和助产士。不过,远水难救近火。

上海第一妇婴保健院院长段涛表示认为,造成孕妇死亡的因素很多,但近年孕妇死亡率都在下降,唯独今年上半年上升,很难说和全面二孩政策一点儿关系都没有。高龄孕妇生产风险一般较大,若有过剖宫产史的孕妇第二次怀孕,其发生子宫破裂、前置胎盘等情况的几率会增加,也将危及孕产妇生命。

另据台湾《中时电子报》网站9月30日报道,国家卫计委日前公布最新的妇幼卫生监测资料显示,实施全面二孩政策半年来,大陆孕产妇死亡率有升高趋势。专家分析,孕产妇死亡率的增加跟全面二孩政策实行,高龄危险孕妇的增多有关。

从临床专业看,孕产妇死亡率的变化确实与二孩政策放开有一定关系。其中的两大主因,首先为政策放开后,想生二孩的多为80后,她们生第一胎时剖腹产率相对较高,疤痕子宫情况多,二孩生育风险大,上半年临床处理危急重症多与此相关。

报道称,其次则是六到七成生二孩的孕产妇在35岁以上,属于高龄生产。高龄生产者,本身子宫等生殖系统经历的感染机会多,不仅面临难受孕、易流产的困难,而且妊娠期的高血压、高血糖等并发症也增加,加大孕产妇的死亡风险。

责任编辑:李东舰 CN031
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