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目的研究并分析潍坊市孕产妇死亡情况,探讨孕产妇死亡的主要原因及变化趋势,寻求降低孕产妇死亡的有效途径。方法根据潍坊市所辖县市区妇幼保健院(站)上报的2000年1月—2010年12月孕产妇死亡原始记录及市级孕产妇死亡病例评审情况,对死亡原因进行回顾性分析。结果 2000—2010年潍坊市出生活产数875511例,死亡123例,平均孕产妇死亡率14.05/10万。孕产妇主要死亡原因的前四位分别为产科出血、羊水栓塞、妊娠合并内科疾病、妊娠期高血压疾病。结论加强基层医院产科质量建设和专业技术培训,提高其对高危妊娠的识别、处理水平及转诊及时率;提高孕产妇系统保健率,加强孕产妇高危专案管理;加大健康教育宣传力度,提高孕产妇及家庭成员的自我保健意识可降低孕产妇死亡率。
Objective To study and analyze the maternal mortality in Weifang City and to explore the main causes and trends of maternal mortality and to seek effective ways to reduce maternal mortality. Methods A retrospective analysis was made on the causes of death according to the original maternal death records and the assessment of municipal maternal deaths reported by the MCH counties under the jurisdiction of Weifang City from January 2000 to December 2010. Results Weifang City, from 2000 to 2010, produced 875,511 live births and 123 deaths. The average maternal mortality rate was 14.05 / 100,000. The main causes of maternal deaths were obstetric hemorrhage, amniotic fluid embolism, pregnancy-associated medical diseases and gestational hypertension. Conclusions Strengthen the obstetrics and gynecology quality construction and professional and technical training in grass-roots hospitals so as to improve their recognition and treatment of high-risk pregnancies and the prompt referral rate; improve maternal system health care rate and strengthen the management of maternal high-risk cases; intensify publicity and promotion of health education Maternal and family members’ self-care awareness can reduce maternal mortality.