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目的分析黔南州孕产妇死亡率及主要死亡原因,为进一步提高产科质量、降低孕产妇死亡率,并提出针对性的干预措施提供依据。方法收集黔南州2006-2011年死亡的孕产妇176例,回顾性分析孕产妇死亡的原因、构成及影响因素。结果全州孕产妇死亡率由2006年117.66/10万下降至2011年的40.92/10万;其中死亡孕产妇176人,直接产科因素导致孕产妇死亡134人,间接产科因素死亡42人。孕产妇前4位死亡原因顺位依次为产后出血、妊娠高血压疾病、羊水栓塞、妊娠合并症。结论 2006-2011年间孕产妇死亡率明显下降,说明干预措施有效。今后仍应进一步加强孕产妇系统管理,提高住院分娩率。加强围产期保健知识的宣传,强化县乡两级产科能力建设管理及人员培训,实行高危孕产妇的筛查管理、转诊,建立有效的高危孕产妇急救绿色通道,对高危孕产妇准确诊断、及时转诊,提高产科危急重症应急救治能力和水平,是降低孕产妇死亡率的有效措施。
Objective To analyze the maternal mortality and the main causes of death in Qiannan Prefecture, and to provide evidences for further improving the quality of obstetrics, reducing the maternal mortality rate and putting forward targeted interventions. Methods A total of 176 maternal deaths from 2006 to 2011 in Qiannan Prefecture were collected. The causes, constitutions and influential factors of maternal death were retrospectively analyzed. Results The state maternal mortality rate dropped from 117.66 / 100 000 in 2006 to 40.92 / 100 000 in 2011; of which 176 were maternal deaths, 134 were maternal deaths directly due to maternity causes, and 42 were indirectly obstetric deaths. The top four causes of maternal death followed by postpartum hemorrhage, pregnancy-induced hypertension, amniotic fluid embolism, pregnancy complications. Conclusions The maternal mortality rate dropped significantly from 2006 to 2011, indicating that the interventions are effective. In the future, we should further strengthen maternal system management and increase hospital delivery rates. Strengthen the propaganda of perinatal health knowledge, strengthen obstetric capacity-building management and personnel training at county and township levels, implement screening and management of high-risk pregnant women, referral and establish an effective first aid green channel for high-risk pregnant women and make accurate diagnosis of high-risk pregnant women , Timely referral, improve obstetric emergency critical emergency treatment capacity and level, is an effective measure to reduce maternal mortality.