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目的对新疆五县(区)2年的孕产妇死亡原因进行调查分析,探讨死亡原因及干预措施。方法对新疆五县2004年～2005年105例孕妇死亡病例资料进行分析。结果新疆五县2年的孕产妇死亡率平均为197.11/10万,全部为直接产科原因,其产后出血为首要原因,占全部死亡病例的40.95%,第二位为其他直接产科疾病,占全部死亡病例的20.00%,第三位为妊娠高血压综合症,占全部死亡病例的19.05%。孕产妇死亡导致的潜在寿命损失年(YPLL)为4343人年,占女性总YPLL的4.43%。有59.05%孕产妇死于家中和转诊途中。结论新疆五县农村孕产妇死亡率较高,城市孕产妇死亡率接近全国水平,农村孕产妇死亡率高与多数在家中分娩,孕产妇个人和家庭对分娩认识不足,农村医疗保健机构宣教及对孕产妇管理不到位,医疗条件差,技术水平低,经济、文化落后,交通不便等因素有关。
Objective To investigate and analyze the causes of maternal death in two counties (districts) in Xinjiang and to explore the causes of death and intervention measures. Methods 105 cases of maternal deaths in five counties of Xinjiang from 2004 to 2005 were analyzed. Results The two-year maternal mortality rate in five counties in Xinjiang was 197.11 / 100,000, all of which were direct maternity causes. The main cause of postpartum hemorrhage was maladjustment, accounting for 40.95% of all deaths, the second was other direct maternity diseases, accounting for all 20.00% of deaths, the third for pregnancy-induced hypertension, accounting for 19.05% of all deaths. The YPLL is 4343 person-years, accounting for 4.43% of the total female YPLL. 59.05% of pregnant women died at home and on the way to referral. Conclusions The maternal mortality rate in rural areas in five counties of Xinjiang is relatively high. The maternal mortality rate in the urban areas is close to the national level. The maternal mortality rate in rural areas is high with most of the cases being delivered at home. Maternal and childbirth individuals and families lack knowledge about childbirth. Maternal management is not in place, poor medical conditions, low technical level, economic, cultural backwardness, traffic inconvenience and other factors.