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目的:分析厦门市近10年孕产妇死亡原因和变化趋势,为降低全市孕产妇死亡率制定有关的政策与措施提供科学的决策依据。方法:采用回顾性统计分析方法,对厦门市1997～2006年的孕产妇死亡资料及评审结果进行整理分析。结果:1997～2006年厦门市常住人口活产数131947,常住人口孕产妇死亡26例,流动人口孕产妇死亡37例,平均孕产妇死亡率19.70/10万。10年间,孕产妇死亡率总体呈下降趋势,死亡原因前4位依次为:产科出血、妊娠合并内科疾病、羊水栓塞、妊高征。结论:工作重点应放在流动人口密集地及贫困农村地区,加强高危人群的管理,提高群众自我保健和接受保健意识,打击非法行医,采取综合措施来有效降低孕产妇死亡率。
OBJECTIVE: To analyze the causes and trends of maternal deaths in recent 10 years in Xiamen City, and provide scientific decision-making basis for the formulation of relevant policies and measures to reduce the maternal mortality rate in the city. Methods: A retrospective statistical analysis was conducted to analyze maternal death data and assessment results from 1997 to 2006 in Xiamen City. Results: The number of live births in Xiamen from 1997 to 2006 was 131,947, the number of pregnant women in permanent population was 26, the number of pregnant women in floating population was 37, and the average maternal mortality rate was 19.70 / 100,000. In the 10 years, the maternal mortality rate showed an overall downward trend. The top four causes of death were obstetric bleeding, pregnancy-associated medical diseases, amniotic fluid embolism and pregnancy-induced hypertension. Conclusion: The focus of work should be placed on rural areas where the floating population is densely populated and poor, and the management of high-risk groups is strengthened to raise public awareness of self-care and health care, crack down on illegal medical practice and comprehensive measures to reduce maternal mortality.