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目的:了解三亚市孕产妇死亡的主要原因,为政府决策提供科学依据。方法:采用现场调查和专家评审的方法对孕产妇死亡病例进行分析讨论。结果:9年来三亚市孕产妇死亡率总体呈逐年下降趋势(144.3/10万~16.14/10万),平均死亡率为52.80/10万;孕产妇死亡前5位死因为:产科出血、妊高征、羊水栓塞、宫外孕、妊娠合并肝炎。结论:加强产科质量建设及对高危孕产妇的保健管理,提高住院分娩率与转诊的及时性和抢救技术水平,加强健康教育宣传,加大对贫穷孕产妇住院分娩救助力度是降低孕产妇死亡率的有效措施。
Objective: To understand the main causes of maternal death in Sanya City and provide a scientific basis for government decision-making. Methods: The cases of maternal death were analyzed and discussed by on-the-spot investigation and expert review. Results: The maternal mortality rate in Sanya dropped year by year (144.3 / 100000 ~ 16.14 / 100000) with an average mortality rate of 52.80 / 100000 in the past 9 years. The five leading causes of maternal death were obstetric bleeding, Signs, amniotic fluid embolism, ectopic pregnancy, pregnancy with hepatitis. Conclusions: To strengthen the quality of obstetrics and health care management of high-risk pregnant women, improve the rate of hospital delivery and timely referral and rescue techniques, strengthen health education and publicity, and increase assistance to poor maternal hospital delivery is to reduce maternal mortality Rate of effective measures.