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1990年我省采用“筛查法”和“校正法”对1987～1989年孕产妇死亡抽样调查,结果为孕产妇死亡率平均为107.9/10万,主要死因是产科出血,主要相关危险因素是农村高危妊娠分级管理不完善、住院分娩率低、产科抢救能力差。1991年我们提出降低孕产妇死亡对策是:以加强高危妊娠分级管理为核心,以防治产科出血为重点,在农村全面推行农村围产保健技术规范化管理,提高住院分娩率,健全县级产科抢救组织和制度。本文还对具体实施方法作了分析。
A sampling survey of maternal deaths from 1987 to 1989 in our province using the “Screening Law” and the “Correction Law” in 1990 showed that the average maternal mortality rate was 107.9 / 100,000. The main cause of death was obstetric hemorrhage. The main relevant risk factors were The grading management of high-risk pregnancy in rural areas is imperfect, the rate of hospital delivery is low, and the obstetric rescue ability is poor. In 1991, we proposed measures to reduce maternal mortality: strengthening the grading management of high-risk pregnancies as the core, focusing on the prevention and treatment of obstetric bleeding, and implementing the standardized management of rural perinatal health care technology in all rural areas so as to increase the hospital delivery rate and improve the county-level obstetric rescue organization And the system. This article also made an analysis of the specific implementation methods.