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目的:评价喀什地区孕产期保健服务、医疗救治质量及家庭社会因素等,为完成“两纲”目标、为降低该地区孕产妇死亡率,针对存在的问题提出干预措施。方法:对2009年在喀什地区死亡的40例孕产妇的死亡时间、死亡地点、死亡原因及救治等情况详细地进行分析,观察死亡率增减趋势。结果:进一步提高妇幼保健工作人员业务水平,保障孕产期保健服务质量,预防产科并发症及合并症的发生,有效降低了该区孕产妇死亡率。结论:进一步加强健康教育宣传工作,使广大孕产妇及其家属了解各种孕期基础疾病的危害性,产前保健及住院分娩的重要性,产后保健的必要性,同时提高医疗保健工作质量,动员全社会,关注及爱护孕产妇,为降低喀什地区孕产妇死亡率打好基础。
Objectives: To evaluate the maternal health care service, the quality of medical care and family social factors in Kashgar Prefecture. In order to accomplish the goal of “two programs” and to reduce the maternal mortality rate in this area, we put forward interventions aimed at the existing problems. Methods: The death time, the place of death, the cause of death and the treatment of 40 maternal deaths in Kashgar in 2009 were analyzed in detail. The trend of increase and decrease of mortality was observed. Results: To further improve maternal and child health workers’ professional skills, guarantee the quality of maternal and child health care services, prevent obstetric complications and complications, effectively reduce the maternal mortality rate in this area. Conclusion: To further strengthen the health education and publicity work, we should let the pregnant women and their families understand the dangers of various basic diseases during pregnancy, the importance of prenatal care and hospital delivery, the necessity of postpartum health care, improve the quality of health care work and mobilize The whole society, concerned about and care for pregnant women, to lay a solid foundation for reducing maternal mortality in Kashgar.