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目的:了解近9年郏县孕产妇死因变化情况,推广应用产科并发症审评方法,促进基层产科服务质量的提高。方法:对全县2001年1月～2009年12月死亡的50例孕产妇个案资料进行统计分析。结果:9年间活产数57440例,孕产妇死亡50例,年平均死亡率87.04/10万,死亡率近3年有明显下降趋势。死因占前3位的是产科出血、羊水栓塞、妊娠期高血压疾病。结论:通过“应用产科并发症审评方法促进基层产科服务质量的研究”项目的实施,有效提高了该县产科质量,降低了严重并发症的发生率,从而显著降低了孕产妇死亡率,应长期开展并积极推广。
OBJECTIVE: To understand the changes of maternal causes of death in Juxian County in the past 9 years, popularize and review the methods of obstetric complication, and promote the improvement of the quality of obstetric services. Methods: Fifty cases of maternal deaths from January 2001 to December 2009 in the county were analyzed statistically. Results: The number of live births was 57,440 in 9 years and 50 cases of maternal death. The average annual death rate was 87.04 / 100 000, and the mortality rate decreased significantly in the recent 3 years. The top three causes of death are obstetric hemorrhage, amniotic fluid embolism, gestational hypertension. CONCLUSION: The implementation of the “Research on Promoting the Quality of Obstetrics and Gynecology Services through the Review of Obstetric Complications” effectively raised the quality of obstetrics and obstetrics in the county and reduced the incidence of serious complications, thus significantly reducing the maternal mortality rate , Should be carried out in the long run and actively promoted.