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目的探讨潍坊市孕产妇死亡原因及影响因素,制定干预措施。方法对2000-2013年潍坊市孕产妇死亡监测及评审资料孕产妇死亡病例资料进行回顾性分析。对孕产妇死亡构成、分娩地点、死亡原因进行分析。结果2000-2013年潍坊市出生活产数1122462例,孕产妇死亡率呈逐年下降趋势,死亡134例,平均孕产妇死亡率11.94/10万。产后出血是孕产妇死亡的主要原因占35.07%,其次是妊娠合并内科疾病(29.85%)、羊水栓塞(27.61%)、妊娠期高血压疾病(5.22%)。结论影响孕产妇死亡的主要因素:低收入、文化落后、多产的高龄农村孕产妇;孕期保健服务质量差及县、乡产科人员业务技术水平低。
Objective To investigate the causes and influencing factors of maternal mortality in Weifang City and to develop intervention measures. Methods The data of maternal deaths in Weifang City during 2000-2013 were analyzed retrospectively. The composition of maternal deaths, place of delivery, causes of death were analyzed. Results The total number of live births in Weifang City was 1,122,462 from 2000 to 2013. The maternal mortality rate showed a declining trend year by year, with 134 deaths and an average of 11.94 / 100,000 maternal deaths. Postpartum hemorrhage was the main cause of maternal death, accounting for 35.07%, followed by medical complications in pregnancy (29.85%), amniotic fluid embolism (27.61%) and gestational hypertension (5.22%). Conclusions The main factors affecting maternal mortality are: low-income, poorly-populated and prolific rural pregnant women; poor quality of health services during pregnancy and low technical skills of county and township obstetrics and gynecology workers.