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目的了解怒江州边远山区农村孕产妇死亡原因及其影响因素,采取干预措施,降低孕产妇死亡率。方法根据怒江2007年-2009年上报的13例边远农村孕产妇死亡资料进行分析。结果 13例农村孕产妇的主要死亡原因为产后出血,其次为妊娠期高血压疾病和妊娠合并心脏病,相关因素有文化、经济、保健服务、交通和计划生育等。结论加强农村孕产妇孕期保健知识宣教,做好孕期保健服务,提高住院分娩率,加强乡镇医院产科设施建设和产科医务人员的技术培训,加强计划生育管理,提高乡村接生员对高危孕产妇的识别和处理能力,是降低农村孕产妇死亡率的重要措施。
Objective To understand the causes and influential factors of rural maternal death in remote mountainous areas of Nujiang Prefecture and to take interventions to reduce the maternal mortality rate. Methods Based on the data of 13 maternal deaths in remote rural areas reported by Nujiang from 2007 to 2009. Results The main causes of maternal death in 13 rural mothers were postpartum hemorrhage, followed by gestational hypertension and pregnancy complicated with heart disease. The related factors were culture, economy, health service, transportation and family planning. Conclusion Strengthen the knowledge and education of pregnant women during pregnancy in pregnancy, do a good job during pregnancy health care services, improve hospital delivery rate, strengthen obstetrics and gynecology facilities in rural hospitals and obstetric medical staff technical training, strengthen family planning management, improve the rural midwife identification of high-risk pregnant women And handling capacity are important measures to reduce the maternal mortality rate in rural areas.