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目的:探讨降低孕产妇死亡的干预措施。方法:回顾性分析2008～2011年朝阳区医疗机构的孕产妇死亡资料。结果:2008～2011年朝阳区户籍孕产妇死亡5例,平均死亡率11.28/10万;朝阳区医疗机构孕产妇死亡22例,主要死因为感染性休克、心脏疾病及产科出血,孕产妇分娩地点及死亡地点以三级医院为主。评审结果不可避免死亡13例,占59.09%;可避免死亡5例,占22.73%;创造条件可避免死亡4例,占18.18%。孕产妇死亡与本人文化程度低、产前保健意识差、高龄等因素有关。结论:加强健康教育宣传力度及孕妇的孕期保健意识,充分发挥“朝阳区危重孕产妇及高危围产儿救治网络”的功能,对贫困危重孕产妇及时实施救助,提高产科质量,可有效降低孕产妇死亡率。
Objective: To explore interventions to reduce maternal mortality. Methods: The data of maternal death in medical institutions in Chaoyang District from 2008 to 2011 were retrospectively analyzed. Results: Five maternal deaths occurred in Chaoyang District from 2008 to 2011 with an average mortality rate of 11.28 / lakh. In the Chaoyang District, 22 maternal deaths occurred in medical institutions. The main causes of death were septic shock, heart diseases and obstetric hemorrhage. And the place of death to tertiary hospitals. The results of the review inevitably died in 13 cases, accounting for 59.09%; 5 cases were avoidable deaths, accounting for 22.73%; 4 cases were avoided by creating conditions, accounting for 18.18%. Maternal death and my education level, poor awareness of prenatal care, seniority and other factors. Conclusion: To strengthen the publicity of health education and awareness of pregnant women during pregnancy, give full play to the “Chaoyang District critically ill pregnant women and high-risk perinatal treatment network ” function, timely implementation of relief for critically ill pregnant women, improve the quality of obstetrics can be effectively reduced Maternal mortality rate.