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目的:对比分析近10年深圳市孕产妇死亡率的变化,对降低孕产妇死亡效果进行评价。方法:从妇幼卫生监测系统提取2001～2010年的孕产妇死亡资料,采取回顾性对比分析。结果:深圳市孕产妇死亡率从2001年的77.47/10万下降到2010年的14.95/10万,比10年前下降80.7%;随着产科质量的提高,住院分娩产妇死亡率从25.64/10万下降为4.72/10万。结论:“降消”项目实施以来,各级政府高度重视,采取大力宣传“降消”项目,拓展健康教育工作,加强技术培训,提高了产科质量和服务水平;设立了危重孕产妇绿色通道,加强危重孕产妇救助,确保了孕产妇住院安全;建立对地下接生的举报及处罚机制,打击非法接生等各项有力措施,使10年间孕产妇死亡率明显下降,达到了预期目标。
Objective: To compare and analyze the change of maternal mortality rate in Shenzhen in recent 10 years and evaluate the effect of reducing maternal mortality. Methods: The data of maternal death from 2001 to 2010 were extracted from maternal and child health monitoring system and retrospectively analyzed. Results: The maternal mortality rate in Shenzhen dropped from 77.47 / 100 000 in 2001 to 14.95 / 100 000 in 2010, down 80.7% from 10 years ago. With the improvement of obstetric quality, the maternal mortality rate in hospital delivery increased from 25.64 / 10 The million dropped to 4.72 / 100,000. Conclusion: Since the implementation of the project of “reducing consumption”, governments at all levels have attached great importance to the project and vigorously promoted the project of “reducing consumption”, expanding health education, strengthening technical training, and improving obstetrics quality and service level. Maternal green channel to strengthen the risk of maternal relief to ensure the safety of pregnant women in maternity; to establish mechanisms for the reporting and punishment of underground delivery and combat illegal delivery and other effective measures to 10 years maternal mortality decreased significantly, reaching the desired goal .