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目的:通过对孕产妇死亡相关资料的分析,找出孕产期保健及产科处理上的薄弱环节和存在的主要问题,提出干预措施,进一步降低孕产妇死亡率。方法:采用回顾性调查,对天津市1997～2006年的孕产妇死亡资料进行分析。结果:10年来天津的孕产妇死亡率平均为14.7/10万,并有所波动;前4位死因顺位为产科出血、妊娠高血压疾病、羊水栓塞、心脏病。结论:加强孕产期保健及系统管理,尤其是高危孕妇的筛查、转诊和追访管理;提高医疗保健人员的知识技能、提高各级医院的产科急救能力;建立孕产妇抢救绿色通道,是降低孕产妇死亡率的有效措施。
OBJECTIVE: Through the analysis of maternal mortality-related data, find out the weak links in maternal health care and obstetrics treatment and the main problems that exist, put forward the intervention measures to further reduce the maternal mortality rate. Methods: A retrospective survey was conducted to analyze maternal mortality data from 1997 to 2006 in Tianjin. Results: In the past 10 years, the maternal mortality rate in Tianjin was 14.7 / 100 000 on average, and fluctuated. The top 4 causes of death were obstetric bleeding, pregnancy-induced hypertension, amniotic fluid embolism and heart disease. Conclusion: To strengthen maternal health care and system management, especially screening, referral and follow-up management of high-risk pregnant women; to improve the knowledge and skills of health care workers and improve obstetric emergency care capacity at all levels of hospitals; to establish a green channel for maternal rescue, It is an effective measure to reduce the maternal mortality rate.