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目的:通过对包头市近9年内孕产妇死亡监测情况和死因变化趋势分析,掌握孕产妇主要死因及其相关因素,有针对性地提出干预措施,降低孕产妇死亡率。方法:对包头市2001～2009年全市的孕产妇死亡卡、死亡调查附卷进行检查分析。结果:2001～2009年全市活产总数153 251例,其中包括流动人口;孕产妇死亡44例,死亡率28.71/10万;产科出血为死亡原因的首位,其次为妊娠期高血压疾病、羊水栓塞占死亡原因的第2、第3位。结论:降低孕产妇死亡率重点在农牧区边远地区及流动人口,应提高对流动人口的围产保健及其系统的管理,提高产科质量,增加“降消”项目的地区。
OBJECTIVE: Through the analysis of maternal death monitoring and trend of death in recent nine years in Baotou, the main causes of maternal death and its related factors are ascertained, and interventions are put forward to reduce the maternal mortality rate. Methods: The maternal death card and death investigation in Baotou from 2001 to 2009 were examined and analyzed. Results: A total of 153 251 live births were reported in the city from 2001 to 2009, including floating population. There were 44 maternal deaths with a mortality rate of 28.71 / 100 000. Obstetric hemorrhage was the leading cause of death, followed by gestational hypertension, amniotic fluid embolism The second and third causes of death. Conclusion: To reduce the maternal mortality rate is mainly in the remote areas and floating population in rural and pastoral areas. We should increase the perinatal care and the management of the floating population, improve the quality of obstetrics, and increase the areas where the project is canceled.