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目的:分析孕产妇院内死亡原因,以改进欠发达地区的妇女保健工作,降低孕产妇死亡率。方法:按照《四川省孕产妇死亡评审标准》,对2007年9月至2008年3月的孕产妇死因进行回顾性分析。结果:半年间孕产妇总数为26 438例,孕产妇死亡16例,孕产妇死亡率为60.52/10万;孕产妇院内死亡12例,占75.00%;其中产科原因死亡7例,占58.33%;非产科原因死亡5例,占41.67%;计划生育内死亡5例,占41.67%,计划生育外死亡7例,占58.33%。结论:加强孕期保健,早期筛查妊娠合并症,筛查和动员计划生育外妊娠,及时住院分娩;加强产时保健,及时处理产时危险因素。通过正确、及时的孕期和产期保健,采取切实有效的干预措施,是降低欠发达地区孕产妇死亡率的有效途经。
OBJECTIVE: To analyze the causes of maternal death in hospital so as to improve women’s health care in underdeveloped areas and reduce the maternal mortality rate. Methods: A retrospective analysis of maternal mortality from September 2007 to March 2008 was conducted in accordance with the “Evaluation Criteria for Maternal Death in Sichuan Province”. Results: The total number of pregnant women in six months was 26,438 cases, maternal death was 16 cases and maternal mortality rate was 60.52 / 100,000. There were 12 cases of maternal death in hospital, accounting for 75.00%. Among them, 7 cases died of obstetric reasons (58.33%). Non-obstetric causes of death in 5 cases, accounting for 41.67%; 5 cases of family planning deaths, accounting for 41.67%, 7 cases of family planning deaths, accounting for 58.33%. Conclusion: To strengthen the health care during pregnancy, early screening of pregnancy complications, screening and mobilization of family planning and external pregnancy, timely hospital delivery; to strengthen delivery of health care, timely treatment of labor-time risk factors. Effective and timely interventions through timely and accurate pregnancy and maternity care are effective ways to reduce maternal mortality in underdeveloped areas.