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目的:通过孕产妇死亡评审可找出影响降低孕产妇死亡率的主要原因,以便制定切实可行的降低孕产妇死亡的干预措施。方法:对铜仁市2011年10月-2012年9月死亡的15例孕产妇死亡的评审资料进行统计分析。结果:孕产妇死因前三位依次是产科出血、妊娠高血压疾病、产褥感染。结论:提高孕产期保健服务质量,提供规范、优质的保健服务,规范高危转诊管理,加强县乡医疗保健机构产科医护人员产科急救能力培训,提高他们的理论知识和操作技能,提高住院分娩率等是降低孕产妇死亡率的有效措施。
Objectives: To identify the main causes of maternal mortality reduction through maternal death review in order to develop realistic interventions to reduce maternal mortality. Methods: Fifteen cases of maternal deaths from October 2011 to September 2012 in Tongren City were analyzed. Results: The top three causes of maternal death were obstetric hemorrhage, pregnancy-induced hypertension and puerperal infection. Conclusion: Improve the quality of maternal health care services, provide standardized and quality health care services, standardize the management of high-risk referral, strengthen obstetrics and gynecology health care staff emergency training in obstetrics and gynecology in county and township health care institutions to improve their theoretical knowledge and skills, improve hospital delivery The rate is an effective measure to reduce the maternal mortality rate.