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目的分析茂名市孕产妇死亡原因、死因构成比及影响因素,探讨降低死亡率的干预措施。方法对茂名市2001～2009年的孕产妇死亡资料及评审结果进行整理分析。结果 2001～2009年活产数733698例,孕产妇死亡183例,死亡率为24.94/10万。农村高于城市,农民占89.07%;死亡的前4位原因分别是产科出血、妊娠合并内科疾病、羊水栓塞、妊娠高血压疾病;影响孕产妇死亡的主要因素中占首位的是家庭个人知识技能。结论针对孕产妇死亡原因,采取有效的措施,降低孕产妇死亡率。
Objective To analyze the cause of maternal death, the cause of death and its influencing factors in Maoming, and to explore the interventions to reduce the mortality rate. Methods The data of maternal deaths from 2001 to 2009 in Maoming City and the review results were analyzed. Results The number of live births in 2001-2009 was 733698 cases, 183 maternal deaths and the mortality rate was 24.94 / 100000. The rural areas were higher than the urban areas with 89.07% of the peasants. The top 4 causes of death were obstetric bleeding, pregnancy-associated medical diseases, amniotic fluid embolism, and pregnancy-induced hypertension. Among the main factors affecting maternal mortality were family personal knowledge and skills . Conclusions Aiming at the causes of maternal death, effective measures should be taken to reduce the maternal mortality rate.