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目的:分析洛阳市孕产妇死亡和死因变化规律,提出降低孕产妇死亡率的干预措施。方法:收集、整理2005～2008年洛阳市孕产妇死亡资料进行回顾性分析。结果:洛阳市4年孕产妇死亡率平均为47.27/10万,整体呈逐年下降趋势。前4位死因依次为产科出血、妊娠合并内科疾病、妊娠期高血压疾病、羊水栓塞。结论:加强孕产期保健及系统管理,尤其是高危孕妇的筛查、转诊及分级管理,强化产科急救、转诊能力的培训,加强产科与多学科间协作,加大健康教育力度可有效降低孕产妇死亡率。
Objective: To analyze the changes of maternal mortality and cause of death in Luoyang and to propose interventions to reduce maternal mortality. Methods: The data of maternal death in Luoyang from 2005 to 2008 were collected and analyzed retrospectively. Results: The average 4-year maternal mortality rate in Luoyang City was 47.27 / 100 000, showing a decreasing trend year by year. The top four causes of death were obstetric bleeding, pregnancy complicated with medical diseases, hypertensive disorders during pregnancy, amniotic fluid embolism. Conclusion: It is effective to strengthen maternal health care and system management, especially screening, referral and management of high-risk pregnant women, strengthen the training of obstetric first aid and referral ability, strengthen the cooperation between obstetrics and multidisciplinary and increase the level of health education Reduce maternal mortality.