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河南省17个孕产妇死亡监测网点1996年监测结果显示:全省平均孕产妇死亡率为80.12/10万,其中城市地区平均死亡率为25.79/10万,农村地区平均死亡率为102.59/10万,与1990年全省普查结果相比较,总死亡率下降了20.01%,较《90年代中国儿童发展规划纲要》中要求的5年孕产妇死亡率降低25%的目标相比还有一定差距,而城市孕产妇死亡率则明显下降达61.34%,农村孕产妇死亡率却居高不下。引起孕产妇死亡的死因顺位依次为:产科出血、妊高征、妊娠合并心脏病、产褥感染,与90年相比较,产科出血引起的死亡率和死因构成比均明显下降,而妊高征引起的死亡则有所上升。连续准确地获得孕产妇死亡动态变化资料,为正确评价规划纲要实施情况及制定有效干预措施提供了可靠依据。本文结果提示:提倡住院分娩,加强适宜技术培训,提高基层妇幼保健人员业务素质及群众自我保健意识是降低孕产妇死亡率的重要措施
The monitoring results of 17 maternal death monitoring sites in Henan Province in 1996 showed that the average maternal mortality rate in the province was 80.12 / 100,000, of which the average mortality rate in urban areas was 25.79 / 100000. The average mortality rate in rural areas was 102.59 / 10 million. Compared with the results of the 1990 census in the whole province, the total mortality rate dropped by 20.01%, which is 25% lower than the 5-year maternal mortality rate required in the “Outline for the Development of Children in China in the 1990s” However, the urban maternal mortality rate dropped significantly by 61.34%, while the maternal mortality rate in rural areas is still high. The cause of maternal death as follows: obstetric hemorrhage, pregnancy-induced hypertension, pregnancy complicated with heart disease, puerperal infection, compared with 90 years, the mortality caused by obstetric hemorrhage and the cause of death than the composition ratio were significantly decreased, and pregnancy-induced hypertension The number of deaths increased slightly. Continuous and accurate information on the dynamic changes of maternal deaths provides a reliable basis for the correct evaluation of the implementation of the plan and the formulation of effective interventions. The results suggest that: to promote hospital delivery, to strengthen appropriate technical training to improve the quality of grass-roots MCH health workers and people’s awareness of self-care is an important measure to reduce maternal mortality