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目的:分析平凉市2001～2010年孕产妇死亡率变化趋势、主要死亡原因及变化特征,为进一步降低孕产妇死亡率提供科学依据。方法:对131例死亡孕产妇观察资料进行回顾性调查,分析孕产妇死亡率变化及死亡原因。结果:平凉市孕产妇死亡率从2001年的69.84/10万下降到2010年的37.35/10万,降幅为46.52%;产科出血(46.56%)、妊娠合并内科疾病(23.66%)、妊娠期高血压疾病(15.27%)、羊水栓塞(6.87%)等是造成孕产妇死亡的主要原因。结论:2001～2010年平凉市孕产妇死亡率整体呈下降趋势,产科出血为导致孕产妇死亡的主要原因。
Objective: To analyze the trend of maternal mortality in 2001 and 2010 in Pingliang City, the main causes and characteristics of maternal mortality, and provide a scientific basis for further reducing the maternal mortality rate. Methods: A retrospective survey of 131 cases of maternal deaths was conducted to analyze the changes of maternal mortality and the causes of death. Results: The maternal mortality rate in Pingliang dropped from 69.84 / 100 000 in 2001 to 37.35 / 100 000 in 2010, a decrease of 46.52%; obstetric hemorrhage (46.56%), medical diseases of pregnancy (23.66%), high gestational age Blood pressure disease (15.27%), amniotic fluid embolism (6.87%) are the main causes of maternal mortality. Conclusion: The overall maternal mortality rate in Pingliang City dropped from 2001 to 2010. Obstetric bleeding was the main reason leading to maternal mortality.