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目的找出台州市黄岩区孕产妇保健管理及产科管理上的薄弱环节和存在的主要问题,提出行之有效的干预措施,进一步降低孕产妇死亡率。方法对2002—2011年十年间的孕产妇死亡资料及相关年报数据进行分析。结果 10年间孕产妇死亡率呈下降且稳定在无孕产妇死亡,平均孕产妇死亡率为12.06/10万,其中2002年孕产妇死亡率最高为53.71/10万,最近3年无孕产妇死亡。结论建立孕产妇死亡评审制度,提高孕产妇保健质量及调整乡镇卫生院助产资格,建立孕产妇抢救中心,提高产科综合抢救能力,是控制孕产妇死亡率的有效措施。
Objective To find the weak links and the main problems in maternal health management and maternity management in Huangyan District of Taizhou City and to put forward the effective interventions to further reduce the maternal mortality rate. Methods Data of maternal deaths and related annual reports from 2002 to 2011 were analyzed. Results The maternal mortality rate dropped to 10 years and stabilized in the absence of maternal death. The average maternal mortality rate was 12.06 / lakh. The highest maternal mortality rate in 2002 was 53.71 / lakh, with no maternal death in the recent 3 years. Conclusion The establishment of a maternal death review system to improve the quality of maternal health and to adjust the township hospital midwifery qualifications, the establishment of maternal rescue center, improve the obstetric comprehensive rescue capability is an effective measure to control maternal mortality.