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目的:分析武汉市孕产妇死亡原因及影响因素,提出降低孕产妇死亡率的预防策略和干预措施。方法:对2007～2011年武汉市孕产妇死亡监测资料进行统计分析。结果:2007～2011年武汉市孕产妇死亡率由56.9/10万降为28.4/10万,其中农村地区孕产妇死亡率由77.6/10万降为49.7/10万,城市孕产妇死亡率由31.6/10万降为0/10万。孕产妇死因前三位依次是产科出血、妊娠期高血压疾病和羊水栓塞。结论:加强育龄孕妇产前筛查和围产期保健教育,加强高危妊娠管理,加强产科和妇幼保健人员的技能培训,提高住院分娩率等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 Wuhan and to put forward the preventive strategies and interventions to reduce maternal mortality. Methods: The data of maternal mortality monitoring in Wuhan from 2007 to 2011 were statistically analyzed. Results: The maternal mortality rate in Wuhan from 2007 to 2011 dropped from 56.9 / 100000 to 28.4 / 100000, among which the maternal mortality rate in rural areas dropped from 77.6 / 100000 to 49.7 / 100000, and the maternal mortality rate in urban areas increased from 31.6 / 100,000 down to 0 / 100,000. The top three causes of maternal death were obstetric hemorrhage, gestational hypertension and amniotic fluid embolism. Conclusions: Strengthening prenatal screening and prenatal care education for pregnant women of childbearing age, strengthening management of high-risk pregnancy, strengthening skill training of obstetric and maternal and child health workers and increasing hospital delivery rate are effective measures to reduce maternal mortality.