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目的:分析云龙县1994年~2004年11年间28例孕产妇的死亡原因,提出切实可行的防治措施,最大限度地降低孕产妇死亡率。方法:从云龙县孕产妇死亡情况台帐、孕产妇死亡调查报告、孕产妇死亡报告卡及孕产妇保健情况的调查表中获得信息及数据,并进行分析,根据分析结果提出防治措施。结果:孕产妇死因首位为产后出血,15例,占53.57%;子痫、产褥感染、妊娠合并内科疾病各3例,各占10.71%;败血症2例,占7.14%;前置胎盘、子宫破裂各1例,各占3.57%;死亡孕产妇中仅3例是住院分娩;文化程度低者死亡率高。随着妇幼保健工作的加强孕产妇死亡率逐年下降。结论:孕产妇死亡严重危害我县育龄妇女身体健康,应针对死因进一步加强防治,同时,应进一步加强县、乡、村三级妇幼卫生人员的业务培训,提高他(她)们的业务素质,做到早发现、早报告、早处理孕期及分娩期并发症,同时应切实加强孕产妇管理,提高住院分娩率,即可将孕产妇死亡率降至最低限度。
Objective: To analyze the causes of death of 28 pregnant women in Yunlong County during the 11 years from 1994 to 2004, and put forward practical prevention measures to minimize the maternal mortality rate. Methods: Information and data were collected from questionnaires of maternal deaths, maternal deaths, maternal death report cards and maternal health conditions in Yunlong County. The prevention and cure measures were put forward according to the analysis results. Results: The first place of maternal death was postpartum hemorrhage, 15 cases accounted for 53.57%; 3 cases were eclampsia, puerperal infection and pregnancy complicated with medical diseases, accounting for 10.71% respectively; sepsis in 2 cases, accounting for 7.14%; placenta previa, uterus 1 case of rupture, each accounting for 3.57%; only 3 of the death maternal women were hospitalized; the death rate of those with low education level was high. With the strengthening of maternal and child health work, the maternal mortality rate has been declining year by year. Conclusion: Maternal death seriously jeopardizes the health status of women of childbearing age in our county. The cause of death should be further strengthened. At the same time, we should further enhance the professional training of maternal and child health workers at the county, township and village levels, improve their professional qualities, To early detection, early reporting, early treatment of complications during pregnancy and childbirth, and should be strengthened to strengthen maternal management, improve hospital delivery rate, maternal mortality rate can be reduced to a minimum.