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目的:了解孕产妇死亡变化趋势,探讨进一步降低孕产妇死亡率的干预措施。方法:回顾性分析陕西省2006～2010年的孕产妇死亡资料。结果:陕西省2006～2010年孕产妇死亡率呈下降趋势,主要死因为产科出血、妊娠期高血压疾病、羊水栓塞、心脏病、产褥感染。结论:正在实施的健康工程、“降消”项目、农村孕产妇免费住院分娩项目和高危妊娠管理等工作已初见成效,加强危重症管理是进一步降低孕产妇死亡率的重要措施。
OBJECTIVE: To understand the trend of maternal mortality and to explore intervention measures to further reduce the maternal mortality rate. Methods: The data of maternal death in Shaanxi Province from 2006 to 2010 were retrospectively analyzed. Results: The maternal mortality rate in Shaanxi Province decreased from 2006 to 2010. The main causes of death were obstetric hemorrhage, gestational hypertension, amniotic fluid embolism, heart disease and puerperal infection. CONCLUSION: The ongoing health projects, “reducing” projects, free hospital delivery of pregnant women in rural areas and management of high-risk pregnancies have achieved some initial success. Strengthening risk management is an important measure to further reduce the maternal mortality rate.