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目的 :了解南溪县孕产妇的死因及影响因素 ,为降低孕产妇死亡提出预防措施。方法 :对 1995～ 1999年南溪县孕产妇死亡报告资料进行分析。结果 :五年共有 2 7名孕产妇死亡 ,孕产妇死亡率为 13 5 .5 8/10万 ,有 44.44%未进行产前检查 ,在接受产前检查的人中只有 13 .3 3 %达到 5次 ,有 70 .3 7%的孕妇在家中分娩 ;死亡原因以产后出血最多 ,占5 1.85 % ,其次为子宫破裂和妊娠合并心脏病 ,各占 14 .81%。结论 :该县孕产妇死亡率高于全国平均水平 ,提示应切实加强孕产期保健 ,提倡住院分娩 ,改善基层产科条件 ,才能降低孕产妇死亡率。
Objective: To understand the causes and influencing factors of pregnant women in Nanxi County and to provide preventive measures to reduce maternal mortality. Methods: Data of maternal deaths in Nanxi County from 1995 to 1999 were analyzed. Results: A total of 27 maternal deaths occurred in five years, with a maternal mortality rate of 135.81 million and 44.44% of those who did not undergo prenatal examinations and only 13.33% of those who received antenatal examinations reached Five times, 70.37% of pregnant women gave birth at home. The most common cause of death was postpartum hemorrhage (5 1.85%), followed by uterine rupture and pregnancy with heart disease (14.81%). Conclusion: The maternal mortality rate in this county is higher than the national average level, suggesting that maternal health should be effectively strengthened, hospital delivery should be promoted, and maternity conditions at the grassroots level should be improved in order to reduce the maternal mortality rate.