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目的进一步掌握全市孕产妇死亡状况,分析构成孕产妇死亡的相关因素,为制定相应的干预措施提供依据。方法1999-2004年十堰市五县一市三区上报的妇幼卫生统计表、孕产妇死亡报告卡,经质量控制及死亡评审,对结果进行分析。结果1999-2004年孕产妇死亡率分别为:80.94/10万、70.96/10万、62.54/10万、41.96/10万、49.61/10万、51.89/10万。孕产妇死亡前4位死因依次为产科出血、妊高征、妊娠合并心脏病、羊水栓塞。结论6年中孕产妇死亡率前4年逐年下降,近两年略有回升,产科出血死因居首位,可避免死亡占66.67%,创造条件可避免死亡占20.00%。并结合本地实际提出了8项干预措施。
Objective To further understand the status of maternal death in the whole city, analyze the related factors that constitute the maternal death and provide the basis for formulating the corresponding interventions. Methods The statistics of maternal and child health and maternal death report submitted by three counties and one city in Shiyan from 1999 to 2004 were analyzed by quality control and death assessment. Results The maternal mortality rates in 1999-2004 were 80.94 / 100000, 70.96 / 100000, 62.54 / 100000, 41.96 / 100000, 49.61 / 100000, 51.89 / 100000 respectively. The four leading causes of maternal death were obstetric hemorrhage, pregnancy-induced hypertension, pregnancy complicated with heart disease and amniotic fluid embolism. Conclusions The maternal mortality rate decreased gradually year by year in the first 4 years and slightly increased in recent two years. The cause of death from obstetric hemorrhage was the highest, avoiding 66.67% deaths and avoiding 20.00% deaths under the conditions of creation. Eight interventions were put forward according to the local conditions.