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目的为了分析产褥期保健与母亲安全的关系。方法对河北省4个妇幼卫生项目县1990.1．1－1992．12．31死亡的全部孕产妇共87例，采用询问法进行了回顾性流行病学的调查。结果产褥期是孕产妇死亡的高发时期，产褥期死亡率为67.82％（59／87），比孕期死亡率17．24％（15／87）及分娩期死亡率14．94％（13／87）均明显增高。产褥期前三位死因为产后出血、产褥感染和妊娠合并心脏病。结论结合产褥期保健的要求提出防治产后出血、杜绝旧法接生、重视产妇营养、加强保健队伍的基本知识和基本技能训练、重视产后访视次数、质量及产妇的精神问题等措施是降低产褥期死亡率的重要措施。呼吁全社会共同努力，转变过去忽视产褥保健的观念。使妇女在产褥期从根本上获得生殖健康的权利。
Objective To analyze the relationship between puerperium health and mother’s safety. Methods A total of 87 maternal deaths in four maternal and child health project counties from 1990.1.1 to 1992.12.31 in Hebei Province were retrospectively investigated using the interrogation method. Results The postpartum period was the high incidence of maternal death. The postpartum mortality rate was 67.82% (59/87), which was 17.24% (15/87) than that during pregnancy and 14.94% (13/87) in childbirth Significantly higher. The first three causes of postpartum bleeding postpartum hemorrhage, puerperal infection and pregnancy complicated by heart disease. Conclusions Combining the requirements of postpartum health care, measures such as prevention and treatment of postpartum hemorrhage, elimination of old procedure, emphasis on maternal nutrition, strengthening basic knowledge and basic skills training of health care team, emphasis on number of visits after postpartum, quality and maternal mental problems are taken to reduce the incidence of postpartum mortality Important measure Appeal to the whole society to work together to change the past ignored the concept of puerperal health. To give women the fundamental right to reproductive health in the puerperium.