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目的:通过对孕产妇死亡近5年的学术评审和分析,掌握深圳市孕产妇死亡相关因素,制定降低孕产妇死亡率的干预措施。方法:对深圳市所有死亡的孕产妇,逐一进行市、区联合调查和三级评审讨论,分析主要死亡原因和相关因素。结果:2006~2010年孕产妇死亡共152人,孕产妇死亡率逐年下降,2010年深圳市孕产妇死亡率下降至14.95/10万,孕产妇死亡前4位主要原因仍然为产后出血、羊水栓塞、妊娠期高血压疾病、宫外孕。结论:提高围产期保健管理,加大健康教育宣传力度,提高流动妇女自我保健意识,加强适宜技术培训和基层产科队伍建设,加强评审反馈和督导,是降低孕产妇死亡率的关键环节。
OBJECTIVE: Through the academic review and analysis of nearly 5 years of maternal death, master the relevant factors of maternal mortality in Shenzhen and make interventions to reduce the maternal mortality rate. Methods: All maternal deaths in Shenzhen City, one by one city and district joint investigation and three assessment review to analyze the main causes of death and related factors. Results: A total of 152 maternal deaths occurred between 2006 and 2010, the maternal mortality rate decreased year by year. The maternal mortality rate in Shenzhen dropped to 14.95 / 100,000 in 2010. The four leading causes of maternal death were still postpartum hemorrhage, amniotic fluid embolism , Gestational hypertension, ectopic pregnancy. Conclusion: Improving the perinatal care management, increasing health education and propaganda, improving self-care awareness of migrant women, strengthening appropriate technical training and building grass-roots obstetric team, and strengthening feedback and supervision of evaluation are the key steps to reduce the maternal mortality rate.