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目的探讨北京市朝阳区孕产妇死亡相关因素,为降低孕产妇死亡率制定有关政策与措施提供依据。方法对我区2001年~2005年五例孕产妇死亡,及对2001年~2005年我区流动人口17例孕产妇死亡,进行死因及相关因素分析。结果朝阳区五年内,本区人口孕产妇死亡率为14.93/10万。前三位死亡原因依次为:妊娠高血压综合征、脑出血、异位妊娠。朝阳区五年内流动人口的孕产妇死亡率51/10万。前三位死亡原因依次为:产科出血、合并内科疾病、羊水栓塞。结论我区的孕产妇死亡主要原因是:产科出血、妊娠高血压综合征、羊水栓塞、异位妊娠、脑出血。需进一步提高产前检查的质量与数量,加强流动人口的孕产妇管理,加强高危孕产妇管理和危重症抢救,可进一步降低我区孕产妇的死亡率。
Objective To investigate the related factors of maternal mortality in Chaoyang District of Beijing and provide the basis for the formulation of relevant policies and measures to reduce the maternal mortality rate. Methods Five cases of maternal death from 2001 to 2005 in our district and 17 maternal deaths from floating population in our district from 2001 to 2005 were analyzed, and the cause of death and related factors were analyzed. Results Within five years of Chaoyang District, the population maternal mortality rate in this district was 14.93 / 100,000. The top three causes of death were as follows: pregnancy-induced hypertension syndrome, cerebral hemorrhage, ectopic pregnancy. In the five years of Chaoyang District, the number of pregnant women who died in the floating population was 51/10 million. The top three causes of death were as follows: obstetric hemorrhage, combined medical diseases, amniotic fluid embolism. Conclusion The main causes of maternal death in our district are obstetric hemorrhage, pregnancy-induced hypertension, amniotic fluid embolism, ectopic pregnancy and cerebral hemorrhage. Need to further improve the quality and quantity of prenatal care, strengthen the flow of maternal management, strengthen high-risk maternal management and critically ill patients can further reduce the maternal mortality in our region.