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目的分析53例妊娠合并心脏病死亡孕产妇情况及死因,探索相应干预措施,降低孕产妇死亡率。方法按照孕产妇死亡检测方法,收集2005年1月1日-2009年12月31日湖南省妊娠合并心脏病死亡中53例孕产妇的资料并进行分析。结果在53例妊娠合并心脏病死亡孕产妇中,可避免死亡的为36例,占67.92%,创造条件可避免死亡的为12例,占22.64%,不可避免死亡的为5例,占9.43%。结论加强孕产期保健系统管理,提高围产期保健服务水平,加强产科质量的建设,扩大健康教育是降低孕产妇死亡的重要措施。
Objective To analyze the situation and cause of death of maternal death in 53 cases of pregnancy complicated by heart disease, explore the corresponding intervention measures and reduce the maternal mortality rate. Methods According to the maternal death detection method, the data of 53 pregnant women with pregnancy-associated heart disease in Hunan Province from January 1, 2005 to December 31, 2009 were collected and analyzed. Results Among 53 pregnant women with pregnancy and cardiac death, 36 cases were avoidable, accounting for 67.92%, 12 cases were avoidable to create conditions, accounting for 22.64%, 5 cases were inevitable death, accounting for 9.43% . Conclusion Strengthening maternity health care system management, improving perinatal health care services, strengthening the quality of obstetrics, and expanding health education are important measures to reduce maternal mortality.