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目的了解吉林省2011~2013年孕产妇死亡发展趋势,掌握产科各个环节中存在的问题,有针对性地提出干预措施和管理办法。方法根据《吉林省孕产妇死亡评审规范》要求,对2011~2013年孕产妇死亡资料通过专家评审的方式进行分析评审。结果 1 3年全省孕产妇死亡共计100例,平均孕产妇死亡率(MMR)17.22/10万。2孕产妇死亡原因第1位是妊娠合并内科疾病,而产科出血导致的死亡由第1位下降为第2位。妊娠合并内科疾病中前三位分别为妊娠合并肺栓塞症、肺炎、血液病及心脏病。产科出血的原因中前三位分别为宫缩乏力、异位妊娠、子宫破裂。3死亡病例在省(市)级医院分娩及死亡比例均最高分别为53.12%、50.00%。结论提高医疗保健技能,落实孕前、产前、产时和产后等孕产妇系统保健诊治等质量控制机制,提高产科ICU急救能力建设、推进多学科合作、促进急救服务能力的提升、加强健康教育是降低孕产妇死亡的有效措施。
Objective To understand the development trend of maternal mortality from 2011 to 2013 in Jilin Province, master the problems in all aspects of obstetrics and to propose interventions and management measures in a targeted manner. Methods According to the requirements of the “Jilin Province Maternal Death Accreditation Criteria”, the data of maternal deaths from 2011 to 2013 were analyzed and appraised by experts. Results A total of 100 maternal deaths were reported in the province in 2013, with an average maternal mortality rate (MMR) of 17.22 / 100,000. 2 The cause of maternal death The first one is pregnancy with medical diseases, and the death caused by obstetric hemorrhage dropped from the first one to the second. Pregnant with medical diseases in the first three were pregnant with pulmonary embolism, pneumonia, blood diseases and heart disease. The causes of obstetric hemorrhage in the first three were uterine atony, ectopic pregnancy, uterine rupture. Among the 3 deaths, the highest rates of childbirth and death in provincial (city) hospitals were 53.12% and 50.00% respectively. Conclusion Improve the health care skills, implement quality control mechanisms such as prenatal, prenatal, postnatal and postnatal system health care diagnosis and treatment, improve the emergency department capacity building of obstetric ICU, promote multidisciplinary cooperation, promote the improvement of emergency service capacity, strengthen health education Effective measures to reduce maternal mortality.