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目的对介休市2004-2010年孕产妇死亡监测结果进行分析,了解孕产妇死亡原因,探讨其影响因素与干预措施。方法按照中国和山西《孕产妇死亡监审方案》,根据逐级上报报表及孕产妇死亡报告卡资料,开展全市(县级市)孕产妇死亡原因分析。结果 7年来孕产妇死亡率为47.00/10万。影响孕产妇死亡的原因中,直接死亡原因高于间接死亡原因,其中产后出血位居榜首,占死亡人数的37.50%;孕28～41周死亡占68.75%;输血的及时性、医务人员的技术水平对孕产妇死亡有重要影响;家庭收入、人口流动、计划生育政策对孕产妇死亡影响较大。结论加强健康教育,强化孕产期保健,加强产科队伍建设、提高产科质量,加大对贫困人群的救助,加强流动人口和计划外孕产妇的管理能有效地降低孕产妇死亡率。
Objective To analyze the monitoring results of maternal death from 2004 to 2010 in Jiexiu City to understand the causes of maternal death and to explore the influencing factors and interventions. Methods According to the “Maternal Mortality Surveillance Program” in China and Shanxi, the causes of maternal death in the whole city (county-level cities) were analyzed according to the reports of grading and maternity death report cards. Results 7-year maternal mortality rate was 47.00 / 100,000. Among the causes of maternal mortality, direct cause of death is higher than indirect cause of death, of which postpartum hemorrhage topped the list, accounting for 37.50% of deaths; 68-75% of pregnant women died from 28 to 41 weeks; timeliness of blood transfusion and medical technician The level of maternal mortality has a significant impact; family income, population movements, family planning policies have a greater impact on maternal deaths. Conclusions Strengthen health education, strengthen the maternity health care, strengthen the obstetric team building, improve the quality of obstetrics, increase the aid to the poor and strengthen the management of the floating population and unplanned pregnant women can effectively reduce the maternal mortality rate.