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目的:掌握产后出血导致产妇死亡的病因及相关因素,采取有效干预措施降低孕产妇死亡率。方法:对无锡市2000年1月1日～2004年12月31日因产后出血导致产妇死亡的病例资料进行分析。结果:产后出血死亡产妇14例,占孕产妇死亡的50.00%。14例中外来人员12例,占85.71%,文盲和小学文化10例,占71.43%,平均产前检查2.6次,在家中分娩10例,占71.43%,计划外怀孕9例,占64.28%,可避免死亡或创造条件可避免死亡13例,占92.86%。结论:产后出血死亡产妇的围产保健意识差,妇幼保健三级网络对外来人员的保健管理存在缺陷,要减少孕产妇产后出血死亡,进一步降低孕产妇死亡率,必须从社区加强妇幼保健管理,各级医院提高高危妊娠诊治与孕产妇系统管理质量,建立贫困孕产妇安全分娩救助办法,坚决取缔非法家庭接生。
Objective: To understand the causes of postpartum hemorrhage leading to maternal mortality and related factors, and to take effective interventions to reduce maternal mortality. Methods: The data of maternal deaths caused by postpartum hemorrhage in Wuxi City from January 1, 2000 to December 31, 2004 were analyzed. Results: 14 cases died of postpartum hemorrhage, accounting for 50.00% of maternal deaths. 14 cases of foreign staff in 12 cases, accounting for 85.71%, 10 cases of illiteracy and primary school culture, accounting for 71.43%, an average of 2.6 prenatal care, birth in the home 10 cases, accounting for 71.43%, unplanned pregnancy in 9 cases, accounting for 64.28% Avoid death or create conditions to avoid death in 13 cases, accounting for 92.86%. Conclusions: The perinatal care awareness of maternal deaths due to postpartum hemorrhage is poor. The three levels of maternal and child health care networks have defects in the health management of migrant workers. To reduce the postpartum hemorrhage and death of maternal and further reduce the maternal mortality rate, we must strengthen maternal and child health management, Hospitals at all levels should improve the diagnosis and treatment of high-risk pregnancies and the quality of system management of pregnant women, establish safe birthing aids for poor pregnant women, and resolutely ban illegal family births.