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目的分析产科出血死亡原因,提出干预措施,提高围产期保健质量,降低孕产妇死亡率。方法长春地区10个县(市)、区,按国家统一要求,填报孕产妇死亡报告卡,逐级上报长春市妇幼保健所。结果2002～2006年长春地区死亡孕产妇共96例。其中因产科出血死亡34例,占死亡的35.41%。而在产科出血死亡中,因产后宫缩乏力死亡的孕产妇22例,占产科出血死亡64.7%。因家庭分娩死亡孕产妇2例,占产科出血死亡的5.88%。因转院途中死亡孕产妇4例,占产科出血死亡11.76%。结论加强农村、乡级保健网建设,取缔家庭分娩,提高农村、乡级产科质量,加强妇科理论学习,认症、识症,是减少产科出血的发生,是降低孕产妇死亡率的重要措施。
Objective To analyze the causes of death from obstetric hemorrhage and propose interventions to improve the quality of perinatal health care and reduce the maternal mortality rate. Methods 10 counties (cities) and districts in Changchun area were required to fill in the report card of maternal death according to the unified requirements of the state and report them to Changchun MCH. Results A total of 96 pregnant women died in Changchun from 2002 to 2006. Among them, 34 died of obstetric hemorrhage, accounting for 35.41% of deaths. In the death of obstetric hemorrhage, 22 cases of maternal deaths due to maternal fatigue, accounting for 64.7% of obstetric hemorrhage death. 2 cases of maternal deaths due to family births, accounting for 5.88% of obstetric bleeding deaths. Due to transfer of death on the way to pregnant women in 4 cases, accounting for 11.76% of obstetric hemorrhage death. Conclusion It is an important measure to reduce the incidence of maternal mortality by strengthening the construction of rural and township health care networks, banning home delivery, improving obstetrics quality at rural and township level, and strengthening gynecological theoretical study, cognition and awareness.