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目的:通过对78例孕产妇死亡原因分析,提出降低孕产妇死亡率的防治对策。方法:对安庆市2005～2011年的孕产妇死亡报告卡、妇幼保健年报表及市级评审资料进行回顾性分析。结果:安庆市2005～2011年的孕产妇死亡率为20.17/10万,呈逐年下降趋势,其中可避免死亡67例,占85.90%,孕产妇死亡前3位原因是产科出血、内科合并症、羊水栓塞。结论:孕产妇死亡率仍有较大的下降空间,应针对病因采取相应的防治对策,加强孕产妇健康教育,普及围产期保健知识;巩固妇幼保健三级网络,推进围产期系统管理;开展医护人员培训,规范围产期诊疗规程,进一步降低孕产妇死亡率。
Objective: To analyze the causes of maternal death in 78 cases and put forward the prevention and cure countermeasures to reduce the maternal mortality rate. Methods: A retrospective analysis was conducted on maternal death report card, maternal and child health annual report and city appraisal data from 2005 to 2011 in Anqing City. Results: The maternal mortality rate in Anqing from 2005 to 2011 was 20.17 / 100 000, showing a declining trend year by year, of which 67 cases were avoidable, accounting for 85.90%. The top three causes of maternal death were obstetric bleeding, medical complications, Amniotic fluid embolism. Conclusions: Maternal mortality rate still has more room to drop. Corresponding prevention and control measures should be taken according to the cause, maternal health education should be strengthened, knowledge of perinatal health should be popularized, the three-level maternal and child health network should be consolidated, and perinatal system management should be promoted. Carry out training of medical personnel, regulate the procedures of perinatal diagnosis and treatment, and further reduce the maternal mortality rate.