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目的探讨株洲市孕产妇死亡相关因素及降低死亡率的有效措施。方法株洲市妇幼保健院收集上报孕产妇个案调查表,结合十二表格评审法,对2005-2011年67例孕产妇进行死因评审分析。结果株洲市7年孕产妇死亡率整体逐年下降,2010年略微反弹,2011年降至历史最低。平均孕产妇死亡率:19.32/10万,死亡原因前三位的是:产科出血、妊娠合并内科疾病、羊水栓塞,其中栓塞性疾病发生呈增多趋势。结论健全的三级网络、加强各级医疗保健技术人员的业务水平,加强孕产妇的系统管理,注重高危面访工作,做好孕产妇死亡的评审工作,加大卫生行政部门监管力度,可有效降低孕产妇死亡率。
Objective To explore the related factors of maternal mortality and the effective measures to reduce mortality in Zhuzhou City. Methods Zhuzhou Maternal and Child Health Hospital collected questionnaires of maternal cases, combined with twelve forms of review, 2005-2006 67 cases of maternal mortality assessment. Results The 7-year maternal mortality rate in Zhuzhou City dropped year by year in total, slightly rebounded in 2010 and dropped to the lowest in 2011. The average maternal mortality rate: 19.32 / 100000, the top three causes of death are: obstetric hemorrhage, pregnancy associated with medical diseases, amniotic fluid embolism, embolism disease which showed an increasing trend. Conclusions A sound three-tier network strengthens the professional skills of health care technicians at all levels, strengthens the systematic management of pregnant women, pays attention to high-risk interviews, does assessment work on maternal deaths, and strengthens the supervision of health administrative departments, which is effective Reduce maternal mortality.