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目的:了解武汉市孕产妇的健康现状。方法:以2007年7月1日～2008年6月30日期间分娩的22 286例产妇为研究对象,结合孕产妇信息保健系统和孕期保健手册对孕产妇的健康状况进行回顾性分析。结果:2008年武汉市孕产妇死亡率为11.09/10万,2003年～2008年武汉市孕产妇死亡率呈现出下降趋势。武汉市孕产妇死亡率处于全国较低水平,羊水栓塞、产科出血、妊娠合并心脏病是近年来引起武汉市孕产妇死亡的前3位原因,宫缩乏力是引起产后出血最常见的病因;尽管近5年高危妊娠的发生率不高,但是中心城区和远城区剖宫产率却持续升高,剖宫产率从2003年的46.26%上升至2008年的65.28%。结论:应加强孕产期的系统保健,尤其有必要加强自然分娩优势的宣传,严格把握剖宫产指征,采取各种有力措施降低剖宫产率。
Objective: To understand the health status of pregnant women in Wuhan. Methods: A total of 22 286 mothers who gave birth between July 1, 2007 and June 30, 2008 were enrolled in this study. The maternal health status was retrospectively analyzed according to the maternal information health care system and pregnancy health care manual. Results: The maternal mortality rate was 11.09 / lakh in Wuhan in 2008. The maternal mortality rate in Wuhan from 2003 to 2008 showed a decreasing trend. Wuhan maternal mortality rate is lower in the country, amniotic fluid embolism, obstetric bleeding, pregnancy complicated with heart disease is caused by maternal death in Wuhan in recent years, the first 3 reasons, uterine inertia is the most common cause of postpartum hemorrhage; despite The incidence of high-risk pregnancies in the past five years was not high, but the cesarean section rate in central and far urban areas continued to rise. The cesarean section rate increased from 46.26% in 2003 to 65.28% in 2008. Conclusion: It is necessary to strengthen systematic health care during pregnancy, in particular, it is necessary to strengthen the publicity of the advantages of natural childbirth, strictly control the indications of cesarean section and take all kinds of effective measures to reduce the rate of cesarean section.