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目的:为了解孕产妇死亡各环节中存在的问题,制定有效可行的干预措施降低孕产妇死亡率。方法:回顾性分析河池市2009～2011年孕产妇死亡资料评审结果。结果:3年间孕产妇死亡率为32.56/10万,羊水栓塞是孕产妇死亡的主要原因,占27.78%,可避免死亡和不可避免死亡各占50.00%。在影响因素中,个人、家庭及居民团体的知识技能和个人家庭的态度问题是主要影响因素,占55.56%。结论:建立健全稳定的妇幼卫生经费保障机制、加强妇幼保健三级网络建设、加大卫生宣教、提高产科人员专业技能和急救处理能力是保障孕产妇生命安全的重要措施。
OBJECTIVE: To understand the problems in various aspects of maternal death and to formulate effective and feasible interventions to reduce the maternal mortality rate. Methods: A retrospective analysis of Hechi City, 2009-2011 maternal mortality assessment results. Results: The maternal mortality rate was 32.56 / lakh in three years. Amniotic fluid embolism was the leading cause of maternal death, accounting for 27.78%. The avoidable death and the unavoidable death each accounted for 50.00%. Among the influencing factors, the main influencing factors are the knowledge and skills of individuals, families and resident groups and the attitudes of individual families, accounting for 55.56%. Conclusion: It is an important measure to ensure the safety of maternal and child health by establishing a sound and stable funding mechanism for MCH and maternal and child health, strengthening the construction of a three-level maternal and child health network, strengthening health education, and improving the professional skills and emergency treatment capacity of obstetricians.