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目的:通过对2003~2005年山西省6个地区孕产妇死亡情况的调查分析,总结孕产妇死亡的基本特点及孕产期保健和产科处理中存在的主要问题,提出改进措施。方法:采用回顾性分析与分层抽样调查的方法,对2003~2005年山西省内6个地区死亡的46例孕产妇病例进行统计分析。结果:调查发现占死因前3位的依次为产科出血、羊水栓塞、妊高症,孕产妇死亡仍以直接产科原因为主,农村低收入、计划外妊娠孕产妇死亡率较高。结论:需针对原因进一步加强对孕产妇的系统管理,加强孕产期保健,提高住院分娩率,提高基层医务人员的技术水平,降低孕产妇的死亡率。
OBJECTIVE: To summarize the basic characteristics of maternal mortality and the main problems in maternal health care and obstetric treatment through investigation and analysis of the maternal deaths in 6 districts of Shanxi Province from 2003 to 2005, and to propose the improvement measures. Methods: By means of retrospective analysis and stratified sampling, 46 cases of maternal deaths in 6 districts of Shanxi Province from 2003 to 2005 were analyzed statistically. Results: The survey found that among the top three causes of death, obstetric bleeding, amniotic fluid embolism, pregnancy-induced hypertension and maternal death were still mainly direct obstetric reasons. The incidence of maternal mortality in rural low-income and unplanned pregnancies was high. Conclusion: Systemic management of pregnant women and mothers should be further strengthened for the reasons, health care during pregnancy and childbirth should be strengthened, hospital delivery rate should be increased, technical skills of grassroots medical workers should be improved, and maternal mortality should be reduced.