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目的:为全面分析2004年泸州市孕产妇死亡的原因及影响因素,制定有效干预措施切实降低孕产妇死亡率。方法:按照《四川省孕产妇死亡评审工作规范(试行)》和世界卫生组织推荐的十二格表评审法,对全市死亡的42例孕产妇逐个进行评审。结果:产后宫缩乏力占23.81%,胎盘滞留占16.67%,二者引起的产后出血死亡为第1死因;可避免死亡占73.81%,创造条件可避免死亡占21.43%,不可避免死亡占4.76%;就诊延误占59.5%,医疗延误占66.6%,交通延误占14.25%;个人家庭知识技能为首要影响因素占30.95%,其次是医疗保健系统的乡、村级医疗保健人员的知识技能各占21.43%。结论:十二格表评审法可客观分析孕产妇死亡的影响因素,降低孕产妇死亡率应“标本兼治”,方能收效。
OBJECTIVE: To comprehensively analyze the causes and influencing factors of maternal mortality in Luzhou City in 2004, formulate effective interventions to reduce the maternal mortality rate effectively. Methods: According to “Sichuan Province Maternal Death Accreditation Practices (for Trial Implementation)” and the World Health Organization recommended twelve grid form of review, the city’s 42 deaths of pregnant women were reviewed one by one. Results: Postpartum uterine inertia accounted for 23.81%, placenta accreta accounted for 16.67%, both caused by postpartum hemorrhage death as the first cause of death; avoidable death accounted for 73.81%, create conditions to avoid deaths accounted for 21.43%, inevitable deaths accounted for 4.76% 59.5% of the cases were delayed, 66.6% were medical delays, and 14.25% were delayed traffic. Individuals whose knowledge and skills were the primary influencing factors accounted for 30.95%, followed by the township and village health care workers in the health care system, accounting for 21.43% %. CONCLUSION: The twelve-table review method can objectively analyze the influencing factors of maternal mortality and reduce the maternal mortality rate.