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目的分析贵州省2012年孕产妇死亡的影响因素,为制定干预措施及管理办法提供科学依据。方法回顾性收集贵州省2012年孕产妇死亡资料,依据世界卫生组织的“十二格法”进行评审分析。结果 2012年评审的病例中,可避免死亡95例,占82.61%;不可避免死亡18例,占15.60%;无法下结论 2例,占1.74%。死亡原因以产科出血居首位。主要影响因素是个人家庭居民团体的知识技能和态度,其次是各级医疗保健部门的知识技能。结论加大健康教育宣传力度,增强孕产妇自我保健意识;加强基层医疗卫生机构的孕产期保健工作及临床诊治能力;规范孕产妇急救和转诊通道,降低孕产妇死亡率,保障母婴安全。
Objective To analyze the influencing factors of maternal mortality in Guizhou Province in 2012 and provide scientific basis for formulating intervention measures and management methods. Methods The data of maternal mortality in 2012 in Guizhou Province were retrospectively collected and evaluated according to the “Twelfth Method of World Law” of the World Health Organization. Results Among the 2012 cases reviewed, 95 cases were avoided, accounting for 82.61%; 18 cases inevitably died, accounting for 15.60%; 2 cases could not be concluded, accounting for 1.74%. The cause of death to obstetric hemorrhage ranks first. The main influencing factors are the knowledge, skills and attitudes of individual household groups, followed by the knowledge and skills of health care departments at all levels. Conclusions Increase publicity of health education to enhance awareness of maternal self-care; strengthen maternal health care and clinical diagnosis and treatment of grass-roots medical and health institutions; regulate maternal first aid and referral channels to reduce maternal mortality and ensure maternal and child safety .