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目的:分析聊城东昌府区近10年孕产妇死亡率及其影响因素,提出针对性干预措施。方法:对东昌府区妇幼保健院2000~2009年的孕产妇死亡资料进行回顾性分析。结果:全区近10年活产总数982 30例,死亡40例,死亡率40.72/10万;前3位死亡原因依次是:产科出血13例,占32.50%,羊水栓塞10例,占25.00%,妊娠期高血压疾病4例,占25.00%;主要影响因素依次为:医疗保健系统知识技能问题13例,占54.17%,个人家庭知识技能问题8例,占33.33%,个人家庭经济问题2例,占8.33%。结论:东昌府区孕产妇死亡率近3年来有所下降,针对孕产妇死亡原因应采取如下措施:①加强产科医务人员的知识技能水平,加强应急能力训练;②提高基层妇幼保健人员的技术水平,认症能力和应急能力;③加大健康教育宣传力度,提高孕产妇及家庭成员的自我保健意识,提高农村孕产妇住院分娩率。
Objective: To analyze the maternal mortality rate and its influencing factors in Dongchangfu District of Liaocheng in recent 10 years and put forward targeted interventions. Methods: The data of maternal mortality in Dongchangfu MCH from 2000 to 2009 were analyzed retrospectively. Results: The total live births in the past 10 years were 982 30 cases, 40 deaths and 40.72 / 100 000 deaths. The causes of the first 3 deaths were obstetric hemorrhage in 13 cases (32.50%), amniotic fluid embolism in 10 cases (25.00%), , Pregnancy-induced hypertension (4 cases), accounting for 25.00%. The main influencing factors were as follows: 13 cases of knowledge and skills in health care system, accounting for 54.17%; 8 cases of individual family knowledge and skills, accounting for 33.33%; 2 cases of personal family economics , Accounting for 8.33%. Conclusion: The maternal mortality rate in Dongchangfu District has declined in recent 3 years. The following measures should be taken in response to the maternal death cause: ①to strengthen the knowledge and skills of obstetric medical staff and strengthen the training of emergency response ability; ②to improve the technology of maternal and child health workers Level, cognitive ability and emergency response capacity; ③ increase health education and publicity efforts to raise awareness of maternal and family members of self-care and improve rural maternal hospital delivery rate.