论文部分内容阅读
目的通过分析2001-2010年阳泉市孕产妇死亡情况,探讨引起孕产妇死亡的主要因素,为进一步制定降低孕产妇死亡干预措施提供科学依据。方法根据阳泉市三区两县2001-2010年的妇幼卫生年报表和孕产妇死亡报告卡、死亡评审表,回顾性分析从妊娠开始到产后42天死亡的孕产妇资料。结果阳泉市2001-2010年统计活产数为99815人,孕产妇死亡54例,死亡率54.10/10万。前4位死因分别是妊娠高血压疾病(27.28%)、产科出血(22.22%)、妊娠合并内科疾病(18.52%)、羊水栓塞(14.81%);死亡地点主要是县级医院(46.30%)、家中(24.07%)及转诊途中(12.96%)。结论做好孕产期系统保健管理,增加妇幼保健工作资金投入,加强对贫困孕产妇的保健服务,实行住院分娩,加强基层医疗及保健人员的培训,提高产科质量,继续深入开展“降消”项目,打击非法接生是降低孕产妇死亡的重要措施。
Objective To analyze the main causes of maternal mortality in Yangquan from 2001 to 2010 and provide a scientific basis for the further development of interventions to reduce maternal mortality. Methods Based on the maternal and child health annual report and maternal death report card from 2001-2010 in three districts of Yangquan City and the death assessment form, the maternal data from the start of pregnancy to the death of 42 days postpartum were retrospectively analyzed. Results In Yangquan City from 2001 to 2010, the number of live births was 99,815, 54 maternal deaths and 54.10 / 100,000 deaths. The first four causes of death were gestational hypertension (27.28%), obstetric hemorrhage (22.22%), pregnancy complicated with medical diseases (18.52%) and amniotic fluid embolism (14.81%). The main cause of death was county hospital (46.30% Home (24.07%) and referral (12.96%). Conclusions The system of maternal health management, maternal and child health care funds, investment in maternal and child health care, health services for impoverished maternal and childbirth, hospitalization delivery, training of grassroots health care workers and health care workers, and improvement of obstetrics quality should be improved. "Project to combat illegal delivery is an important measure to reduce maternal deaths.