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目的:分析孕产妇死亡资料,为进一步降低孕产妇死亡率提供科学的依据。方法:采取回顾性研究的方法,通过全县三级网收集报表,对7年来精河县孕产妇死亡的个案及评审情况进行分析。结果:7年来精河县孕产妇死亡率下降呈不稳定趋势。死亡原因以产科出血、妊高征、内科合并症为主。结论:精河县孕产妇死亡主要与医疗保健因素尤其是医务人员的知识技能相关,其次与个人家庭因素尤其是知识水平及家庭经济状况有关,有效降低孕产妇死亡率,关键在于提高产科质量,加强孕产妇保健管理,提倡住院分娩,杜绝家庭接生。
Objective: To analyze maternal mortality data and provide scientific basis for further reducing maternal mortality. Methods: A retrospective study was conducted to analyze the cases and assessment of maternal deaths in Jinghe County in the past seven years through the collection of statements by the tertiary network of the county. Results: The decline of maternal mortality rate in Jinghe County in seven years showed an unstable trend. The causes of death were obstetric bleeding, PIH and medical comorbidities. Conclusion: The maternal death in Jinghe County is mainly related to the health care factors, especially the knowledge and skills of medical staff. Second, it is related to personal family factors, especially knowledge and family economic status. The key to reducing the maternal mortality rate is to improve the obstetric quality, Strengthen maternal health management, promote hospital delivery, and eliminate family births.