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目的:调查分析青海省大通县孕产妇的死亡原因,为该地区制定干预措施提供依据。方法:回顾性分析大通县1998～2005年孕产妇的死亡情况。结果:孕产妇死亡率为93.67/10万;主要死因为产后出血(38.10%)、妊娠合并高血压(28.57%)和羊水栓塞(9.52%)。结论:大通县孕产妇死亡率呈逐年下降趋势;为进一步降低死亡率,应加强医务人员的培训,提高基层医疗机构处理妊娠合并征及异位妊娠的能力,提倡住院分娩,取缔非法接生。
Objective: To investigate and analyze the causes of maternal death in Datong County, Qinghai Province, and provide evidences for the interventions in this area. Methods: The mortality of pregnant women in Datong County from 1998 to 2005 was analyzed retrospectively. Results: The maternal mortality rate was 93.67 / lakh. The main causes of death were postpartum hemorrhage (38.10%), pregnancy-induced hypertension (28.57%) and amniotic fluid embolism (9.52%). Conclusion: The mortality rate of maternal in Datong County is declining year by year. To further reduce the mortality rate, medical staff training should be strengthened to improve the ability of primary medical institutions to deal with pregnancy complicated with ectopic pregnancy and pregnancy, and to promote hospital delivery and ban illegal delivery.