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目的:通过对孕产妇死亡资料的分析,探讨孕产妇死亡率的变化趋势和死亡相关因素,以便制定有效地干预措施,进一步降低孕产妇死亡率。方法:采用回顾性研究的方法,对2001～2006年广东省茂名地区孕产妇死亡情况进行分析。结果:6年来茂名市孕产妇死亡率比全国孕产妇死亡率低,产科出血为首位死亡原因,妊娠合并内科病第二位,羊水栓塞为第三位。结论:应加强政府支持力度、强化妇幼保健管理、提高各级医疗保健机构高危妊娠诊治水平及孕产妇系统管理质量,提高住院分娩率,可有效降低孕产妇死亡率。
OBJECTIVE: To analyze the changing trend of maternal mortality and the related factors of death by analyzing the data of maternal mortality in order to formulate effective intervention measures to further reduce the maternal mortality rate. Methods: A retrospective study was conducted to analyze the maternal deaths in Maoming, Guangdong from 2001 to 2006. Results: The maternal mortality rate in Maoming City was lower than the national maternal mortality rate in the past 6 years. Obstetric bleeding was the leading cause of death. The third was pregnant with the second internal medical disease and the third was amniotic fluid embolism. Conclusion: Government support should be strengthened to strengthen the management of maternal and child health, improve the diagnosis and treatment of high-risk pregnancies at all levels and the quality of maternal system management, and increase hospital delivery rate, which can effectively reduce the maternal mortality rate.