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目的掌握和探讨三亚农村地区孕产妇死亡因素及影响原因变化,寻求有效干预措施。方法对三亚市农村地区2000～2008年孕产妇死亡监测情况进行回顾性分析。结果2000～2008年度三亚市农村活产数为43618人,孕产妇死亡23例,平均死亡率为52.73/10万,各年度间孕产妇死亡有统计学意义(P<0.05)。农村孕产妇死亡受当地经济文化水平影响较明显。结论建立健全三级妇幼保健网络,加强产科能力建设,做好高危孕产妇的筛查、管理及转诊工作,加大围产期保健知识宣教,提高孕产期保健覆盖率和服务质量,政府加大对贫困高危孕产妇住院分娩救助力度等是降低农村孕产妇死亡的重要措施。
Objective To understand and explore the causes of maternal mortality in rural areas of Sanya and to seek for effective interventions. Methods A retrospective analysis of maternal mortality in rural areas of Sanya from 2000 to 2008 was conducted. Results The number of live births in rural areas in Sanya in 2000-2008 was 43,618 and the number of maternal deaths was 23. The average death rate was 52.73 / 100,000. The maternal deaths were statistically significant (P <0.05). Rural maternal deaths are more affected by the local economic and cultural level. Conclusion The establishment of a sound three-level maternal and child health care network, strengthening of obstetrical capacity building, screening, management and referral of high-risk pregnant women, increasing education of perinatal health knowledge, improving maternal health coverage and quality of service, the government Increasing the hospitalization and delivery assistance to pregnant women at high risk of poverty is an important measure to reduce maternal mortality in rural areas.