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目的分析2004-2010年郑州市孕产妇死亡漏报发生的环节及影响因素,为保证今后孕产妇死亡监测信息的准确性、科学性提供指导性帮助。方法采用随机抽样和重点线索追踪相结合的方法,对郑州市孕产妇死亡监测进行质量控制;对孕产妇死亡漏报资料进行回顾性分析。结果 2004-2010年郑州市孕产妇死亡共漏报20例,漏报率为10.75%,其中城市漏报率为7.69%,农村漏报率为11.56%,漏报率呈逐年下降趋势。计划外孕产妇、有过转诊、妊娠合并症及医院内发生在妇产科以外科室死亡的孕产妇易发生漏报。结论加强卫生行政部门的领导与协调作用,加大监测经费投入,加强对监测人员的业务培训,完善监测技术规范,改进质量控制方法,建立健全奖罚制度,是减少孕产妇死亡漏报的关键。
Objective To analyze the links and influencing factors of omission of maternal death in Zhengzhou City from 2004 to 2010 and provide guidance and help for the accuracy and scientificity of future maternal death monitoring information. Methods The method of random sampling and key clue tracking was used to control the maternal death in Zhengzhou. The data of omission of maternal death were retrospectively analyzed. Results A total of 20 maternal deaths were reported in Zhengzhou from 2004 to 2010. The omission rate was 10.75%. The omission rate was 7.69% in urban areas and 11.56% in rural areas. The omission rate showed a downward trend year by year. Unplanned pregnancy maternal, there have been referral, pregnancy complications and hospital in obstetrics and gynecology departments to death maternal prone to omission. Conclusion It is the key to reduce the omission of maternal death by strengthening the leadership and coordination role of the health administrative departments, increasing the investment in monitoring, strengthening the training of supervisors, improving the technical specifications of monitoring, improving the methods of quality control and establishing and improving reward and punishment system .