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目的分析都昌县2002~2007年27例孕产妇死亡原因,提出切实可行的干预措施,最大限度地降低孕产妇死亡率。方法从孕产妇死亡登记表、报告卡、调查报告、问卷及孕产妇保健情况的调查表中获得信息和数据,并进行分析,根据分析结果提出干预措施。结果孕产妇死因首位为产科出血13例,占48.15%;其次是妊娠期高血压疾病4例,占14.82%。;妊娠合并内科疾病4例,占14.82%;其他疾病3例,占11.11%;羊水栓塞2例,占7.41%;宫外孕1例,占3.7%。计划外生育者、文化程度低者死亡率高。结论加强县、乡、村三级妇幼卫生人员的业务培训,提高业务素质。提高住院分娩率,减少并发症;切实加强孕妇管理,将孕产妇死亡率降至最低限度。
Objective To analyze the causes of maternal death in 27 cases from 2002 to 2007 in Duchang County and put forward feasible interventions to minimize the maternal mortality rate. Methods The information and data were obtained from the questionnaire of maternal deaths, report card, survey report, questionnaire and maternal health condition. The data were analyzed and the interventions were put forward according to the results of the analysis. Results The first cause of maternal death was obstetric hemorrhage in 13 cases (48.15%), followed by gestational hypertension in 4 cases (14.82%). ; Pregnancy complicated with medical diseases in 4 cases, accounting for 14.82%; other diseases in 3 cases, accounting for 11.11%; amniotic fluid embolism in 2 cases, accounting for 7.41%; ectopic pregnancy in 1 case, accounting for 3.7%. Unplanned births, those with a low education level have a high mortality rate. Conclusion Strengthen the business training of MCH personnel at the county, township and village levels and improve their professional quality. Improve hospital delivery rate, reduce complications; earnestly strengthen the management of pregnant women, maternal mortality rate will be reduced to a minimum.