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目的:分析医疗保健系统对孕产妇死亡的影响程度,进一步降低孕产妇死亡率。方法:按照全国孕产妇死亡监测中心制定的监测方案,统计连云港市2004~2007年孕产妇死亡资料评审结果。结果:39例孕产妇死亡资料中,有高危情况的占53.85%,在乡镇卫生院分娩的占53.85%,分娩前有缩宫素使用史的占41.03%,可避免死亡占58.97%,影响孕产妇死亡的医疗保健系统因素占54.29%。结论:医疗保健系统的知识技能、管理方面和资源等方面的问题影响着孕产妇死亡率的降低。提高医疗保健系统管理质量应采取以下措施:采取多种形式提高基层人员的业务技能,强化医务人员和医疗机构的法律意识,规范基层卫生院妇产科建设。
OBJECTIVE: To analyze the impact of the healthcare system on maternal mortality and to further reduce maternal mortality. Methods: According to the monitoring plan developed by the National Maternal Death Monitoring Center, statistics on the data of maternal deaths from 2004 to 2007 in Lianyungang City were reviewed. Results: The data of 39 maternal deaths accounted for 53.85% at high risk, 53.85% at township hospitals, 41.03% before oxytocin use, 58.97% avoidable death, The health care system of maternal deaths accounted for 54.29%. Conclusion: Problems with the healthcare system in terms of knowledge, skills, management and resources have implications for the reduction of maternal mortality. The following measures should be taken to improve the management quality of the health care system: adopt various forms to improve the business skills of grassroots personnel, strengthen the legal awareness of medical personnel and medical institutions, and standardize the construction of obstetrics and gynecology in primary health care institutions.