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河南省1998年17市、县孕产妇死亡监测点监测结果显示:全省平均孕产妇死亡率为62.27/10万,较1990年下降了37.83%,较1996年下降了22.28%,较1997年下降了19.02%。其中城市平均死亡率为25.17/10万,较1990年下降了69.69%。农村平均死亡率为76.22/10万,较1990年下降了24.59%。引起孕产妇死亡的死因顺位依次为:产科出血、妊娠高血压综合征、羊水栓塞、妊娠合并心脏病、产褥中暑。提示:加强孕产妇系统管理,尤其是高危妊娠,及早转诊,提高住院分娩,加强基层妇幼保健人员业务素质的培训,提高群众自我保健意识,是降低孕产妇死亡率的重要措施。
In 1998, the monitoring results of maternal death in 17 counties and counties in Henan Province showed that the average maternal mortality rate in the province was 62.27 / 100,000, down 37.83% over 1990 and 22.28% lower than that of 1996, down from 1997 19.02%. The average urban death rate was 25.17 / 100,000, down 69.69% from 1990. The average death rate in rural areas was 76.22 / 100,000, down 24.59% over 1990. The causes of maternal deaths were as follows: obstetric hemorrhage, pregnancy-induced hypertension syndrome, amniotic fluid embolism, pregnancy complicated with heart disease, puerperal heatstroke. It is an important measure to reduce the maternal mortality rate. It is an important measure to reduce maternal mortality by strengthening maternal system management, especially at high risk pregnancy, early referral, improving hospital delivery, strengthening professional training of grassroots maternal and child health workers and raising public self-care awareness.