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目的:了解不同时期孕产妇死亡原因的变化,更有针对性的加强孕产妇的保健工作。方法:通过对监测地区2000～2003年(前阶段)84例死亡孕产妇及2004～2008年(后阶段)103例死亡孕产妇的分析,将后阶段与前阶段的死亡率、死亡的主要疾病、死亡孕产妇的分娩地点、死亡地点和评审结果进行比较。结果:①孕产妇死亡率明显下降;②死亡主要疾病排序发生了变化;③死亡孕产妇的分娩地点及死亡地点发生变化,家中分娩及家中死亡率减少,在医疗机构分娩及死亡率增高;④专家评审结果:可避免的死亡减少,不可避免的死亡增高。结论:随着妇幼保健工作重点及工作方法的改变,孕产妇死亡因素的变化也有改变。提高孕产期系统保健率、加强对高危孕产妇的监测管理、加大孕产妇贫困救助、提高基层医疗技术水平、政府和相关部门及社会的关注是降低孕产妇死亡率的关键。
Objective: To understand the causes of maternal death in different periods of change, more targeted to strengthen maternal health care. Methods: Based on the analysis of 84 pregnant women who died in the monitoring area from 2000 to 2003 (the former stage) and 103 pregnant women who died in the period from 2004 to 2008 (the latter stage), the mortality of the latter stage and the previous stage, the main diseases of death , The place of delivery of the dead maternal, the place of death, and the results of the review. Results: (1) The maternal mortality rate decreased obviously; (2) The order of death major diseases changed; (3) The place and place of death of the deceased pregnant women changed; the birth rate and death rate at home were reduced; the delivery and death rate in the medical institutions increased; Expert review results: avoidable deaths are reduced and inevitable deaths are increased. CONCLUSIONS: With changes in maternal and child health priorities and working methods, changes in maternal mortality have also changed. Improve the system of health care during pregnancy, strengthen the monitoring and management of high-risk pregnant women, increase maternal poverty relief and improve the level of grass-roots medical technology, the government and relevant departments and the community’s attention is the key to reducing maternal mortality.