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目的:分析固原市孕产妇死亡的原因及影响因素。方法:收集宁夏固原市2000～2010年死亡孕产妇169例,采用回顾性调查的方法,找出孕产妇的死亡原因及相关因素。结果:2000～2010年期间,宁夏固原市孕产妇的死亡率呈逐年下降趋势,孕产妇死亡的前三位死因依次为:产科出血、内科合并症、妊高征,分娩和死亡地点以家中和途中居多,专家评审结果可以避免和创造条件可以避免死亡的孕产妇占95.86%。结论:加强围产期保健,强化县乡两级产科建设管理及人员培训,规范高危孕产妇的筛查、管理、转诊、建立有效的高危孕产妇的急救绿色通道,准确诊断高危孕产妇诊断准确,转送接诊及时的有效运转系统,是降低孕产妇死亡率的有效措施。
Objective: To analyze the causes and influencing factors of maternal mortality in Guyuan. Methods: 169 cases of maternal deaths were collected from Guyuan in Guiyang from 2000 to 2010. The causes of maternal death and related factors were determined by retrospective investigation. Results: During the period of 2000 ~ 2010, the mortality rate of pregnant women in Guyuan city of Ningxia showed a declining trend year by year. The top three causes of maternal death were obstetric bleeding, medical comorbidities, PIHs, births and deaths Most of the way, the expert review results can avoid and create conditions to avoid death of pregnant women accounted for 95.86%. Conclusion: To strengthen perinatal care, strengthen obstetric construction management and personnel training at county and township levels, standardize the screening, management and referral of high-risk pregnant women, establish effective first aid green channels for high-risk pregnant women, and accurately diagnose high-risk pregnant women Accurate, timely and effective transfer of admissions system, is an effective measure to reduce maternal mortality.