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目的分析莆田市12年孕产妇死亡监测结果,掌握死亡变化趋势及原因。方法对2001—2012年孕产妇死亡率和死因进行分析。结果孕产妇死亡率从2001年的46.67/10万下降至2012年的9.39/10万。死亡原因依次为:产科出血(33.7%)、妊娠合并心脏病(12.1%)和羊水栓塞(12.1%)。直接产科原因死亡占55.4%,间接产科原因死亡占44.6%。经评审分析,可避免死亡占67.5%。结论莆田市孕产妇死亡率逐年下降,建议建立孕产妇抢救小组和开通高危孕产妇转诊绿色通道,进一步降低孕产妇死亡率。
Objective To analyze 12-year monitoring results of maternal mortality in Putian City and to grasp the trend of death and its causes. Methods The maternal mortality rate and cause of death from 2001 to 2012 were analyzed. As a result, the maternal mortality rate dropped from 46.67 / 100,000 in 2001 to 9.39 / 100,000 in 2012. The causes of death were obstetric hemorrhage (33.7%), pregnancy complicated with heart disease (12.1%) and amniotic fluid embolism (12.1%). Direct obstetric causes accounted for 55.4% of deaths, indirect causes of obstetric death accounted for 44.6%. Judged by analysis, avoidable deaths accounted for 67.5%. Conclusions The maternal mortality rate in Putian City has been declining year by year. It is suggested that a maternal rescue team be set up and a high-risk pregnant woman should be referred for green channel to further reduce the maternal mortality rate.