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目的:探讨影响武汉市常住人口孕产妇死亡率的主要因素,提出降低孕产妇死亡率的干预措施。方法:对武汉市2001～2010年孕产妇死亡监测资料进行回顾性分析。结果:2001～2010年武汉市孕产妇死亡率为15.91/10万,10年间孕产妇死亡率呈逐年下降趋势;死因前4位分别为产科出血、妊娠合并内外科疾病、羊水栓塞、妊娠期高血压疾病,妊娠合并内外科疾病所占比例逐渐增加;可避免死亡主要与个人家庭知识、技能、态度及医疗保健机构知识、技能和管理等有关。结论:武汉市降低孕产妇死亡率取得了一定的成绩,今后还要加强孕产期保健系统管理、加强产科建设、提高产科质量、强化健康教育、推行孕产妇保健顾问制、切实落实农村孕妇住院分娩补助等措施,进一步降低孕产妇死亡率。
Objective: To explore the main factors influencing the maternal mortality rate of the permanent population in Wuhan and to propose the interventions to reduce the maternal mortality rate. Methods: The data of maternal mortality monitoring from 2001 to 2010 in Wuhan were analyzed retrospectively. Results: The maternal mortality rate in Wuhan from 2001 to 2010 was 15.91 / lakh. The maternal mortality rate showed a downward trend year by year. The top four causes of death were obstetric bleeding, pregnancy and surgical diseases, amniotic fluid embolism, high gestational age The prevalence of blood pressure disorders and pregnancy-related diseases is gradually increasing. Avoiding deaths is mainly related to personal family knowledge, skills, attitudes and knowledge, skills and management of health care institutions. Conclusion: The maternal mortality rate in Wuhan has achieved some success. In the future, we should also strengthen maternal health care system management, strengthen obstetric construction, improve the quality of obstetrics, strengthen health education, implement the consultant system for maternal health, and earnestly implement the rural maternal hospitalization Childbirth subsidies and other measures to further reduce maternal mortality.