论文部分内容阅读
目的:分析2007年湖南省孕产妇死亡原因,为降低孕产妇死亡率提供对策及依据。方法:收集、统计、分析2007年湖南省孕产妇死亡个案,通过专家评审明确死亡原因。结果:2007年湖南省孕产妇死亡的死因顺位分别为:产科出血、妊娠合并内科疾患(除外合并心脏疾患)、羊水栓塞、妊娠高血压疾病、妊娠合并心脏病。结论:孕产妇死亡原因中,产科出血仍然是湖南省孕产妇死亡的首位原因;产科综合救治能力不足,妊娠合并内科疾患是产科处理中的薄弱环节;剖宫产技术及管理的不规范需引起管理层的高度重视。各级医疗保健部门应根据孕产妇死亡中表现出的特点制定培训方案,加强孕产妇急救、转诊网络建设,严格剖宫产的技术管理。
Objective: To analyze the causes of maternal mortality in Hunan Province in 2007 and provide countermeasures and basis for reducing the maternal mortality rate. Methods: Collect, count and analyze the maternal deaths in Hunan Province in 2007, and make clear the cause of death through expert review. Results: The causes of maternal death in Hunan Province in 2007 were as follows: obstetric bleeding, pregnancy complicated with medical problems (excluding heart disease), amniotic fluid embolism, pregnancy induced hypertension, pregnancy complicated with heart disease. Conclusion: Obstetric bleeding remains the first cause of maternal death in Hunan province. Maternal mortality is the leading cause of death in maternal mortality in Hunan Province. Insufficient obstetric comprehensive treatment and medical problems in pregnancy are the weak links in obstetric treatment. Non-standard cesarean section technique and management should be caused Management attaches great importance. Health care departments at all levels should formulate training programs based on the characteristics shown in maternal deaths, strengthen the maternity first aid, referral network construction, and strictly manage the technical management of cesarean section.