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目的:了解正安县孕产妇死亡原因的变化趋势,并提出干预措施。方法:对正安县2000~2006年孕产妇死亡资料进行回顾性分析。结果:2000~2001年死因顺位为产科出血、内科合并症、妊娠期高血压疾病,2002~2003年死因顺位为产科出血、妊娠期高血压疾病、内科合并症、其他(如产褥感染、用药错误引起药物中毒、羊水栓塞等)。2004~2006年死因顺位为产科出血、内科合并症、其他。结论:进一步加强对高危人群的健康教育力度,实施贫困救助,努力提高住院分娩率,是降低孕产妇死亡率的关键。
Objective: To understand the trend of maternal death in Zhengan County and to propose interventions. Methods: The data of maternal death from 2000 to 2006 in Zheng’an County were retrospectively analyzed. Results: The cause of death was obstetric bleeding, medical complications and gestational hypertension in 2000-2001. The cause of death in 2002-2003 was obstetric bleeding, hypertensive disorder complicating pregnancy, medical comorbidities and others (such as puerperal infection , Medication errors caused by drug poisoning, amniotic fluid embolism, etc.). The cause of death from 2004 to 2006 was obstetric bleeding, medical comorbidity and others. Conclusion: The key to reducing maternal mortality is to further strengthen health education for high-risk groups, implement poverty relief and strive to improve hospital delivery rate.