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1995年4～7月,对武汉市1994年死亡的15～49岁育龄妇女进行的全面普查。结果表明,我市孕产妇死亡率为41.16/10万,漏报率为48.28％。孕产妇死亡原因首位为产科出血,死亡专率为19.87/10万,其后依次为妊高征(7.10/10万)、妊娠合并症(5.68/10万)。孕产妇死亡与产前检查次数、死亡地点、死亡时期、分娩地点等有关。郊县孕产妇死亡漏报率为53.85％,显著高于城区。漏报环节首位为医疗保健机构,占64.29％,其次为个人家庭,占28.57%。漏报原因首位为计划外生育、隐瞒,占42.86％,其次为家属不了解报告制度。指出提高产科质量,加强围产期保健系统管理是降低孕产妇死亡率的重要措施;健全和完善医疗保健机构的孕产妇死亡报告制度,建立健全三级保健网,有效地控制计划外生育,加强在群众中宣传孕产妇死亡报告制度的重大意义,是减少和消除孕产妇死亡漏报的重要措施。
From April to July 1995, a comprehensive survey of women of childbearing age from 15 to 49 who died in Wuhan in 1994 was conducted. The result shows that the maternal mortality rate in our city is 41.16 / 100000, the false negative rate is 48.28%. The first cause of maternal death was obstetric bleeding, with a death rate of 19.87 / 100000, followed by pregnancy-induced hypertension (7.10 / 100,000) and pregnancy complications (5.68 / 100,000). Maternal deaths are related to the number of prenatal visits, the place of death, the time of death, and the place of delivery. Suburban maternal death rate was 53.85%, significantly higher than the urban area. The first reported omission was a healthcare organization, accounting for 64.29%, followed by an individual household, accounting for 28.57%. The first cause of underreporting was unplanned, concealed, accounting for 42.86%, followed by family members do not understand the reporting system. It points out that improving the quality of obstetrics and strengthening perinatal care system management is an important measure to reduce the maternal mortality rate; perfecting and improving the reporting system of maternal death in medical institutions, establishing and improving a three-level health care network, effectively controlling unplanned births and strengthening The great significance of promoting the reporting system of maternal death among the masses is an important measure to reduce and eliminate the omission of maternal deaths.