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目的探讨2009～2011年43例孕产妇死亡原因,提出针对性的干预措施,提高围产期保健质量,降低孕产妇病死率。方法对2009～2011年长春地区孕产妇死亡情况进行统计分析。结果三年来长春地区死亡孕产妇共43例,其中直接产科死亡18例,间接产科死亡25例。子宫收缩乏力及肺栓塞、重症肺炎和甲流分别是2009、2010、2011年的死亡主因。43例中26例可避免死亡。结论提高围产期保健质量,拓展妇幼保健服务领域,加强产科知识技能培训是降低孕产妇病死率的重要措施。
Objective To investigate the causes of maternal death in 43 cases from 2009 to 2011, and to put forward targeted interventions to improve the quality of perinatal care and reduce maternal mortality. Methods The maternal mortality in Changchun from 2009 to 2011 was analyzed statistically. Results A total of 43 maternal deaths occurred in Changchun in the past three years, including 18 direct obstetric deaths and 25 indirect obstetric deaths. Uterine atony and pulmonary embolism, severe pneumonia and a flow were the main cause of death in 2009, 2010 and 2011 respectively. 26 of 43 cases were able to avoid death. Conclusions Improving the quality of perinatal care, expanding the area of maternal and child health services, and strengthening the training of knowledge and skills in obstetrics are important measures to reduce maternal mortality.