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经调查河南省七县1988～04～1989～03孕产妇死亡率为136.1/10万,高于全国平均水平(94.7/10万)。从七县中选择了死亡率偏高的三个县(147.9/10万)为样本.进行厂降低农村孕产妇死亡率保健措施的研究。自1990年4月1日～1992年3月31日。在三县采取了以下保健措施:①加强基层妇幼卫生建设,特别是中心乡卫生院的建设,②整顿和完善三级保健网;③建全孕产妇系统管理制度,高危妊娠筛查,转化和转诊制度,④配备必要设备,建立联合小产院,实行定点接生。两年内孕产妇死亡率,由1989年的147.9/10万下降到67.7/10万,下降幅度为54.44%,最高达72.1%。此工作为实现2000年孕产妇死亡率下降一半的规划目标提供了依据。
The survey found that maternal mortality rate was 136.1 / 100,000 in 1988 ~ 04 ~ 1989 ~ 03 in seven counties of Henan Province, higher than the national average (94.7 / 100000). Three counties (147.9 / 100000) with the highest mortality rate were selected from the seven counties as the samples, and a study on health measures to reduce maternal mortality in rural areas was conducted. From April 1, 1990 to March 31, 1992. The following health measures have been taken in the three counties: ① strengthening the construction of maternal and child health at the grass-roots level, especially in the center and township hospitals; (2) rectifying and improving the tertiary health care network; and (3) establishing a system of maternal health system management, screening and conversion of high- Referral system, ④ equipped with the necessary equipment to establish a joint small plant, the implementation of sentinel. In two years, the maternal mortality rate dropped from 147.9 / 100,000 in 1989 to 67.7 / 100,000, a drop of 54.44% and a maximum of 72.1%. This work provides the basis for achieving the planned goal of halving the maternal mortality rate in 2000.