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目的:通过对孕产妇死亡资料的分析,探讨孕产妇死亡相关因素,为制定干预措施提供依据。方法:对海东地区两个少数民族贫困县(化隆县和互助县)2000年—2009年度孕产妇死亡资料进行分析。结果:10年两县孕产妇死亡41例,平均死亡率为90.57/10万,孕产妇死亡原因第一位是产科出血,占36.59%。其它是内科合并症和妊娠高血压疾病、羊水栓塞。结论:应进一步加强孕产妇系统管理,特别是高危孕产妇专案管理,提倡住院分娩,开辟绿色通道,重视产科质量,提高基层产科人员的急救能力,降低孕产妇死亡率。
OBJECTIVE: To analyze the maternal mortality data and explore the related factors of maternal mortality and provide the basis for the formulation of interventions. Methods: The data of maternal death from 2000 to 2009 in two minority poverty-stricken counties (Hualong County and Huzhu County) in Haidong Prefecture were analyzed. Results: In the past 10 years, there were 41 maternal deaths in two counties, with an average mortality rate of 90.57 / 100 000. The first cause of maternal death was obstetric bleeding, accounting for 36.59%. Others are medical complications and pregnancy-induced hypertension, amniotic fluid embolism. CONCLUSIONS: Maternal system management should be further strengthened, especially for high-risk maternal cases management. Advocacy of hospital delivery, opening up of green channels, paying attention to obstetrics and gynecology quality, improving first aid ability of grassroots obstetric staff and reducing maternal mortality rate.