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目的分析朝阳市2003～2012年孕产妇死亡的主要原因及影响因素,探索相应的干预措施,为妇幼卫生政策提供及时可靠的科学依据。方法采用回顾性调查的方法,对朝阳市近10年孕产妇死亡的原因、发生率及相关因素进行分析。结果 2003～2012年的孕产妇死亡发生率呈稳步下降趋势,但产科因素依旧是孕产妇死亡的主要因素。结论提高各级政府对这项工作的认识,将工作重点依旧放在农村和基层,加强对基层妇幼保健和妇产科医务人员相关知识的培训,提高救治能力,加强对高危人群的宣教和管理及孕期系统管理,同时保证绿色通道及资金救助的畅通,降低孕产妇死亡发生率。
Objective To analyze the main causes and influencing factors of maternal mortality from 2003 to 2012 in Chaoyang City and to explore corresponding intervention measures to provide timely and reliable scientific basis for MCH policy. Methods A retrospective survey was conducted to analyze the causes, incidence and related factors of maternal mortality in Chaoyang City in recent 10 years. Results The incidence of maternal death from 2003 to 2012 showed a steady downward trend, but obstetric factors were still the main factors of maternal mortality. Conclusion The government at all levels should raise their awareness of this issue and focus their efforts on rural areas and grassroots workplaces. They should also strengthen their training on basic maternal and child health and obstetrics and gynecology staffs’ knowledge, raise their ability to treat and treat diseases, and strengthen the mission and management of high-risk groups And pregnancy system management, while ensuring the smooth flow of green channels and financial assistance to reduce the incidence of maternal deaths.