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目的:根据孕产妇死亡评审结果分析大同市孕产妇死亡率及孕产妇死亡的死因构成及其影响死亡的主要因素,提出针对性的干预措施,有效降低孕产妇死亡率。方法:收集整理2007～2010年山西省大同市孕产妇死亡资料共15例,进行回顾性分析及统计。结果:2007～2010年大同市孕产妇死亡率分别为16.99/10万、16.08/10万、25.55/10万、0/10万,其中2010年没有死亡的孕产妇,4年孕产妇死亡率平均为14.59/10万,孕产妇死亡的主要死亡原因的前4位分别为:羊水栓塞、产后出血、其他疾病、先心病。影响死亡的因素,以个人家庭及居民团体知识技能、资源不足,以及县乡两级医疗保健系统知识技能、资源、管理系统问题为主。结论:降低孕产妇死亡率需要社会各部门密切配合,进一步提高孕产妇保健意识和产科服务质量,加大健康教育宣传力度,提高各级医务人员助产技术和急救水平,完善医疗救助体系是降低孕产妇死亡的关键措施。
OBJECTIVE: To analyze the causes of maternal mortality and maternal mortality in Datong based on the results of maternal death assessment and its main factors that affect mortality, and put forward targeted interventions to reduce the maternal mortality rate effectively. Methods: A total of 15 maternal deaths were collected from 2007 to 2010 in Datong, Shanxi Province for retrospective analysis and statistics. Results: The maternal mortality rates in Datong from 2007 to 2010 were 16.99 / lakh, 16.08 / lakh, 25.55 / lakh and 0 / lakh respectively. Among them, the number of maternal deaths that did not die in 2010 and the average 4-year maternal mortality rate For the 14.59 / 10 million, the leading cause of maternal death, the top four were: amniotic fluid embolism, postpartum hemorrhage, other diseases, congenital heart disease. The factors that affect death are mainly knowledge and skills of individual family and resident groups, inadequate resources, as well as knowledge and skills, resources and management system of health care system at county and township level. Conclusion: To reduce the maternal mortality rate, it is necessary to closely cooperate with all social sectors to further raise the awareness of maternal health and the quality of obstetric services; to step up publicity on health education; to improve the midwifery skills and first aid for medical staff at all levels; and to improve the medical aid system The key measures of maternal mortality.