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目的分析2005-2012年湖南省衡阳市孕产妇死亡案例,寻找影响孕产妇死亡的相关因素,为制定降低孕产妇死亡率的有效措施提供依据。方法回顾性分析衡阳市2005-2012年孕产妇死亡的个案调查资料,采用WHO十二格表进行评审分析。结果①孕产妇死亡率:2005-2012年衡阳市孕产妇死亡率呈下降趋势,2012年孕产妇死亡率为26.71/10万。②死亡孕产妇系统管理率:190例死亡孕产妇中仅40例进行了孕期系统管理,占21.05%。③死亡原因构成比及顺位:前4位死因依次为产科出血、妊娠合并内科疾病、妊娠高血压疾病、栓塞性疾病。④评审结论 :190例死亡孕产妇可避免死亡为150例,不可避免死亡为40例。结论加强孕产妇健康教育,提高孕产妇系统管理质量,加强产科人员技术培训,严格准入制度,取缔非法接生,杜绝非专业人员跨行接生,建立孕产妇急救绿色通道、危急重症孕产妇转诊一步到位等是降低孕产妇死亡的重要措施。
Objective To analyze the cases of maternal death in Hengyang City, Hunan Province from 2005 to 2012, and to find out the relevant factors that affect maternal mortality and provide the basis for effective measures to reduce maternal mortality. Methods A retrospective analysis of Hengyang City, 2005-2012 cases of maternal deaths survey data using WHO 12 grid form for review and analysis. Results ① Maternal mortality rate: The maternal mortality rate in Hengyang City dropped from 2005 to 2012, and the maternal mortality rate in 2012 was 26.71 / 100000. ② death maternal system management rate: 190 cases of maternal deaths only 40 cases of pregnancy during the systematic management, accounting for 21.05%. ③ the cause of death than the constitution and the order: the top four cause of death were obstetric bleeding, pregnancy complicated with medical diseases, pregnancy-induced hypertension disease, embolic disease. ④ Conclusion: 190 cases of maternal mortality can be avoided for 150 cases, inevitable death was 40 cases. Conclusion Strengthening maternal health education, improving the quality of maternal system management, strengthening the technical training of obstetricians, strict admitting system, banning illegal deliveries, eliminating non-professionals interim delivery, establishing a green channel for maternal emergency and referral for critically ill pregnant women In place is an important measure to reduce maternal mortality.