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目的分析10年来晋宁县孕产妇死亡率未能有效控制且逐渐上升的原因,探讨降低孕产妇死亡率的措施。方法回顾性分析1995年~2004年以来17例已经进行过死因分析的孕产妇死亡病例,按年进行统计,病因分析结果与1986年~1994年平均死亡率比较。结果观察组孕产妇平均死亡率为57.23/10万,较对照组的平均死亡率70.25/10万有所下降,但无差异性。观察组中后5年较前5年升高22.57/10万,两者有差异性。结论加大妇幼卫生知识宣传力度;加强村级卫生保健网底建设,提高住院分娩率;与计划生育部门配合,降低多胎次妊娠及多次流产率,杜绝计划外生育;加强重症高危孕产妇管理及追踪;提高医疗保健人员的医疗技术水平和对危急重症抢救能力;尽快解决血源问题是降低孕产妇死亡率的有效措施。
Objective To analyze the reasons why the maternal mortality rate in Jinning County has not been effectively controlled and gradually increased over the past 10 years, and to explore ways to reduce the maternal mortality rate. Methods A retrospective analysis of 17 cases of maternal deaths that had been performed in the analysis of cause of death since 1995 to 2004 was conducted. The results were compared with the average mortality from 1986 to 1994. Results The average mortality rate of pregnant women in the observation group was 57.23 / 100 000, which was lower than the average mortality rate of 70.25 / 100 000 in the control group, but no difference was found. In the observation group, the latter five years increased by 22.57 / 100,000 compared with the previous five years, both of which were different. Conclusions Increase the publicity of maternal and child health knowledge; strengthen the construction of village-level health care network and increase the hospital delivery rate; cooperate with the family planning department to reduce the incidence of multiple pregnancy and multiple miscarriage and prevent unplanned birth; strengthen the management of severe and high-risk maternal And follow-up; improve the medical and technical level of health care workers and critically ill emergency rescue capabilities; as soon as possible to solve the problem of blood supply is an effective measure to reduce maternal mortality.