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目的:准确掌握施甸县孕产妇死亡状况,为降低孕产妇死亡率提供科学依据。方法:按照《云南省孕产妇死亡监测方案》,对2005～2009年施甸县11例死亡孕产妇的死亡原因、死前就诊服务、死亡地点、文化程度及经济状况等相关因素进行监测分析。结果:2005～2009年施甸县孕产妇死亡率为67.12/10万。在11例死亡孕产妇中,死于妊娠合并内科疾病5例,占45.45%;妊娠高血压疾病3例,占27.27%;因胎盘因素导致产科出血2例,占18.18%;羊水栓塞1例,占9.1%。孕产妇死前未就诊3例,占27.27%;孕产妇死于家中5例,占45.45%;死亡孕产妇的家庭经济年人均收入小于800元8例,占72.72%。结论:加强健康教育提高孕产妇自我保健意识,巩固和提高新农合参合率,保障孕产妇住院分娩,加强孕产妇系统管理和筛查高危实行专案管理,确保孕产妇救护绿色通道正常运转,提高县、乡两级产科人员综合救治能力,强化培训乡村医生的宜适技术是降低孕产妇死亡率的有效措施。
Objective: To accurately grasp the maternal deaths in Shidian County and provide a scientific basis for reducing maternal mortality. Methods: According to the “Monitoring Plan of Maternal Death in Yunnan Province”, the causes of death, the service, place of death, educational level and economic status of 11 maternal deaths in Shidian County from 2005 to 2009 were monitored and analyzed. Results: The maternal mortality rate in Shidian from 2005 to 2009 was 67.12 / 100000. Among 11 pregnant women who died, 5 died of pregnancy-associated medical diseases, accounting for 45.45%; 3 cases of pregnancy-induced hypertension, accounting for 27.27%; 2 cases of obstetric bleeding due to placental factors, accounting for 18.18%; 1 case of amniotic fluid embolism, Accounting for 9.1%. Maternal death before treatment in 3 cases, accounting for 27.27%; maternal death in the home 5 cases, accounting for 45.45%; death maternal family annual economic per capita income of less than 800 yuan in 8 cases, accounting for 72.72%. CONCLUSION: Health education should be strengthened to raise awareness of maternal self-care, to consolidate and improve NCMS co-morbidity, to guarantee maternal maternity delivery, to strengthen maternal system management and to screen high-risk project management, to ensure the normal operation of maternal green channel and to improve The comprehensive treatment capacity of maternity staff at county and township levels and strengthening appropriate training of rural doctors should be an effective measure to reduce the maternal mortality rate.