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目的分析湖南省2007-2011年363例产科出血致孕产妇死亡死因构成及影响因素,为有效控制全省产科出血发生率,进一步降低孕产妇死亡率,及制定有关的政策和措施提供科学的决策依据。方法采取回顾性统计调查的方法,对湖南省2007-2011年363例产科出血孕产妇死亡资料及评审结果进行整理分析。结果宫缩乏力、子宫破裂、胎盘滞留为产科出血最主要的死因构成,占63.91%;产科出血孕产妇死亡个案分娩及死亡地点均有县级集中趋势;各级助产机构的知识技能问题是产科出血孕产妇死亡最主要的影响因素,占61.98%。结论落实产科人员培训的针对性及成效性,加强县级医疗机构产科诊治及综合救治水平建设,是控制产科出血发生率,降低孕产妇死亡率的关键所在。
Objective To analyze the causes and causes of maternal death from 363 obstetric hemorrhage cases in Hunan province from 2007 to 2011. To provide scientific control for effectively controlling the incidence of obstetric hemorrhage in the province, further reducing the maternal mortality rate and formulating relevant policies and measures in accordance with. Methods A retrospective statistical survey was conducted to analyze the data and results of maternal mortality from 363 obstetric hemorrhage cases in Hunan Province from 2007 to 2011. Results Uterine atony, uterine rupture and placenta accretion were the main causes of death in obstetric hemorrhage, accounting for 63.91%. Maternal deaths in obstetric hemorrhage all had county-level concentration in the delivery and death sites. Knowledge and skill problems of midwifery at all levels were The main influencing factors of maternal mortality in obstetric hemorrhage accounted for 61.98%. Conclusion The implementation of obstetric training and the effectiveness of obstetrics and gynecology to strengthen the obstetric diagnosis and treatment and comprehensive treatment of the building level is to control the incidence of obstetric bleeding and reduce the key to maternal mortality.