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目的对2002—2012年河池市金城江区孕产妇死亡情况及相关因素进行分析,为降低孕产妇死亡率提供科学依据。方法对2002—2012年河池市金城江区孕产妇死亡资料,根据妇幼信息员的统计报表、孕产妇死亡报告卡、死亡调查附卷、死亡漏报调查以及组织市区级以上有权威的孕产妇死亡评审专家进行综合评审分析。结果共死亡19例,20～30岁占63.16%,在山区居住占78.95%,农村户口占89.47%,初中及以下文化占68.42%,家庭人均年收入<1000元占63.16%。怀孕≥5次占68.42%,产次≥3次占63.16%,孕期从未进行产前检查占47.37%。区级及以上医院分娩占68.42%。评审专家评审可避免死亡或创造条件可避免死亡占47.37%。平均死亡率为39.46/10万。主要死亡原因:妊娠合并内科疾病、羊水栓塞、产科出血。结论加强健康教育,完善基层各级妇幼保健网络,落实围生保健,加强乡镇卫生院的建设及产科专业技术人员的技术培训,对高危孕产妇进行专案管理,并定期追踪随访,提高住院分娩率,以达到降低孕产妇死亡率的目的。
Objective To analyze maternal deaths and related factors in Jinchengjiang District of Hechi City from 2002 to 2012, and provide a scientific basis for reducing maternal mortality. Methods According to the data of maternal death in Jinchengjiang District of Hechi City from 2002 to 2012, according to the statistical report of maternal and child informants, the maternal death report card, the questionnaire of death investigation, the investigation of death and omission, and the organization of the authoritative maternal Death assessment experts conduct a comprehensive assessment analysis. Results There were 19 deaths in total, 63.16% in 20-30 years old, 78.95% in mountainous areas, 89.47% in rural areas, 68.42% in junior high schools and below, and the annual per capita income was less than 1000 yuan, accounting for 63.16%. Pregnancy ≥ 5 times accounted for 68.42%, production times ≥ 3 times accounted for 63.16%, 47.37% never during pregnancy. District-level hospitals and above accounted for 68.42%. Accreditation of experts to avoid death or create conditions to avoid deaths accounted for 47.37%. The average death rate was 39.46 / 100,000. The main cause of death: pregnancy complicated by medical diseases, amniotic fluid embolism, obstetric hemorrhage. Conclusions Strengthen health education, improve maternal and child health care networks at all levels, implement perinatal health care, strengthen the construction of township hospitals and technical training of obstetric technicians, carry out project management of high-risk pregnant women and follow-up regularly to improve hospital delivery rate In order to achieve the goal of reducing maternal mortality.