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河南省17个孕产妇死亡监测网点1997年监测结果显示:全省平均孕产妇死亡率为76.90/10万,较1990年下降23.2%,较1996年下降了4.02%;农村该指标无明显下降,城市较1990年下降了64.17%。引起孕产妇死亡的死因顺位依次为:产科出血、妊高征、妊娠合并心脏病、产褥感染、妊娠合并肝病。与1990年比较,产科出血引起的死亡率和死因构成比均明显下降,而妊高征引起的死亡上升为第二位。提示:大力宣传孕期保健知识,提倡住院分娩,加强围产期管理,尤其是高危妊娠的管理,加强适宜技术的培训,提高基层妇幼保健人员业务素质及群众自我保健意识,将工作重点放在农村,是降低孕产妇死亡率的重要措施。
The monitoring results of 17 maternal death monitoring sites in Henan Province in 1997 showed that the average maternal mortality rate in the province was 76.90 / 100,000, down 23.2% over 1990 and 4.02% lower than that in 1996. There was no obvious decrease in rural areas, The city dropped 64.17% from 1990. The causes of maternal deaths were: obstetric hemorrhage, pregnancy-induced hypertension, pregnancy complicated with heart disease, puerperal infection, pregnancy complicated with liver disease. Compared with 1990, the death rate and cause of death caused by obstetric hemorrhage were significantly lower than the proportion of deaths caused by pregnancy-induced hypertension rose to second place. Prompt: vigorously promote knowledge of prenatal care, promote hospital delivery, strengthen perinatal management, especially the management of high-risk pregnancy, strengthen appropriate technical training, improve the quality of primary health care workers and the masses self-care awareness, the work will focus on rural , Is an important measure to reduce maternal mortality.