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本文报道了1989年元月—12月,河南省十二个县250例孕产妇死亡原因分析并提出了干预措施。十二个县总活产数166113人,孕产妇死亡250人,死亡率为150.5/10万。直接产科原因死亡185例(74%),非直接产科原因死亡65例(26%)。死亡顺位为:产科出血(51.2%)、妊高征(11.2%)、妊娠合并心脏病(10.8%)、产褥感染(8.8%)等;经产妇死亡(61.2%)明显高于初产妇(38.8%);未及时就医死于家中及途中者占14.8%;死亡孕产妇中有46.58%为旧法接生。为此提出如下干预措施:(1)加强宣传改变观念;(2)健全农村三级妇幼保健网;(3)提高乡、村级卫生人员素质;(4)边远地区建立活动血库;(5)提高农村住院分娩率,加强中心卫生院建设;(6)宣传计划生育,杜绝非计划内妊娠。
This article reports the analysis of the causes of maternal death in 250 maternal deaths from January to December 1989 in 12 counties of Henan Province and puts forward the intervention measures. The total number of livelihoods in the 12 counties was 166113, with 250 maternal deaths and a mortality rate of 150.5 / 100,000. 185 (74%) died of direct obstetric causes, and 65 (26%) died of indirect obstetric causes. The fatality rate was obstetric bleeding (51.2%), pregnancy induced hypertension (11.2%), pregnancy complicated with heart disease (10.8%), puerperal infection (8.8% 61.2%) were significantly higher than those of primipara (38.8%). 14.8% of them died of untimely medical treatment at home and on the way and 46.58% of those who died did not receive medical treatment. (3) To improve the quality of health workers at the township and village level; (4) To establish a blood bank of activities in remote areas; (5) To set up an activity blood bank in remote areas; Improve rural hospital delivery rate, and strengthen the construction of central hospitals; (6) publicize family planning and eliminate unplanned pregnancy.