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目的了解贺州市孕产妇死亡原因变化趋势,并提出干预措施。方法对贺州市2001-2010年孕产妇死亡原因及医疗保健情况分析。结果 2001～2005年孕产妇死亡率54.14/10万,死因顺位为产科出血、内科合并症、羊水栓塞、妊高征。2006～2010年孕产妇死亡率18.40/10万,死因顺位为内科合并症、产科出血、羊水栓塞、妊高征。结论贺州市“十一五”实施的一系列降低孕产妇死亡的措施取得了显著的效果、在社会经济快速发展、医改全面开展的“十二五”时期,提高各级产科人员业务水平,加强高危妊娠管理,特别是对妊娠内科合并症规范诊疗,是进一步降低孕产妇死亡的关键。
Objective To understand the changing trend of maternal mortality in Hezhou and to propose interventions. Analysis of causes of maternal death and health care in Hezhou City from 2001 to. Results The maternal mortality rate in 2001-2005 was 54.14 / 100 000. The cause of death was obstetric bleeding, medical comorbidity, amniotic fluid embolism and PIH. The maternal mortality rate from 2006 to 2010 was 18.40 / 100 000. The cause of death was as follows: medical complications, obstetric bleeding, amniotic fluid embolism and PIH. Conclusion A series of measures to reduce maternal mortality implemented in Hezhou City during the 11th Five-Year Plan have achieved remarkable results. During the “Twelfth Five-Year Plan” of rapid social and economic development and medical reform, Business level, strengthen the management of high-risk pregnancy, especially for medical diagnosis and treatment of pregnancy complications, is to further reduce the key to maternal mortality.