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目的:摸清孕产妇死亡的主要原因及其危险因素,为进一步降低孕产妇死亡率提供依据。方法:对历年孕产妇死亡进行跟踪随访以及个案调查,组织专家评审,收集流行病学调查资料。结果:孕产妇死亡率从1998年的97/10万下降到2007年的30/10万;死亡的主要原因为产科出血(30.8%)、羊水栓塞(27.9%)等;流动人口、文化素质低、经济条件差、超计划生育、孕期无保健、产时旧法接生、家里和私人诊所接生等也是导致孕产妇死亡的危险因素。结论:孕产妇死亡率得到明显控制,孕产妇死亡预防工作仍较为严峻。
Objective: To find out the main causes and risk factors of maternal mortality and provide the basis for further reducing maternal mortality. Methods: Follow-up and follow-up of maternal deaths over the years and case studies were conducted to organize experts to review and collect epidemiological survey data. Results: The maternal mortality rate dropped from 97/10 in 1998 to 30/10 in 2007; the main causes of death were obstetric hemorrhage (30.8%) and amniotic fluid embolism (27.9%). The floating population, with low educational level Poor economic conditions, over-family planning, lack of health during pregnancy, old-fashioned birth during delivery, and birth attendance at home and private clinics are also risk factors for maternal mortality. Conclusion: The maternal mortality rate has been obviously controlled, and maternal mortality prevention is still more severe.