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目的:分析平凉市孕产妇死亡原因,提出干预措施,降低孕产妇死亡率。方法:总结分析该地区2005～2010年孕产妇死亡报告卡、年报表、漏报调查、个案分析及孕产妇死亡评审资料。结果:平凉市孕产妇死亡的主要原因是胎盘滞留、妊娠期高血压疾病、妊娠合并先天性心脏病,2005～2010年孕产妇死亡率平均为56.08/10万,2010年最低为37.35/10万。77例死亡孕产妇中可避免死亡55例,占71.43%,创造条件可避免死亡9例,占11.69%。结论:死亡率有很大下降空间。通过发展经济,增加群众收入;加强医院管理,提高专业技术水平;严肃认真开展孕产妇死亡评审工作,总结经验教训;实施综合措施,保证产科急救绿色通道的畅通;开展健康教育,提高自我保护意识是有效降低孕产妇死亡的重点环节。
Objective: To analyze the causes of maternal death in Pingliang City and propose interventions to reduce the maternal mortality rate. Methods: To summarize and analyze maternal death report cards, annual reports, underreporting investigation, case analysis and maternal death review data in this area from 2005 to 2010. Results: The main causes of maternal death in Pingliang City were placenta accreta, hypertensive disorder complicating pregnancy and pregnancy complicated with congenital heart disease. The average maternal mortality rate in 2005-2010 was 56.08 / 100 000, the lowest in 2010 was 37.35 / 100 000 . Among 77 pregnant women who died, 55 were avoidable deaths, accounting for 71.43%. Nine of them were avoided, accounting for 11.69%. Conclusion: There is a great amount of reduction in mortality. Strengthen the management of the hospital and improve the professional technical level through economic development; Seriously carry out the assessment of maternal deaths and summarize the experiences and lessons; Implement comprehensive measures to ensure the smooth flow of emergency green passages in obstetrics; Carry out health education and raise the awareness of self-protection It is an important link to effectively reduce maternal mortality.