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目的通过对孕产妇死亡的相关因素分析,找出孕产妇保健工作的缺陷,为制定降低孕产妇死亡率的干预措施提供可靠依据。方法采用回顾性研究方法,对我市2000～2008年间死亡的234例孕产妇病例的死因及相关因素进行分析。结果安阳市2000～2008年孕产妇死亡率总体呈下降趋势,由2000年59.99/10万下降至2008年的27.57/10万,下降幅度54.04%;但有明显不稳定性。孕产妇死亡原因前4位依次为产科出血、羊水栓塞、妊娠高血压疾病、妊娠合并内科疾病。结论要进一步降低孕产妇死亡率,应加强各级医院产科建设,特别是乡(镇)卫生院产科建设,加强医护人员的业务技术培训,规范高危孕产妇转诊的绿色通道,落实孕产妇系统保健管理措施,从而有效降低孕产妇死亡率。
Objective To find out the defects of maternal health by analyzing the related factors of maternal mortality and provide a reliable basis for making interventions to reduce maternal mortality. Methods A retrospective study was conducted to analyze the causes of death and related factors of 234 maternal deaths from 2000 to 2008 in our city. Results The maternal mortality rate in Anyang decreased from 59.99 per 100 000 in 2000 to 27.57 per 100 000 in 2008, a drop of 54.04%. However, there was obvious instability. The causes of maternal death in the top 4 followed by obstetric hemorrhage, amniotic fluid embolism, pregnancy-induced hypertension, pregnancy with medical diseases. Conclusion To further reduce the maternal mortality rate, we should strengthen obstetric construction at all levels of hospitals, especially obstetrics and gynecology in township (town) hospitals, strengthen the technical and technical training for medical staff, standardize the green channel for high-risk maternal referrals, and implement the maternal system Health management measures to effectively reduce maternal mortality.