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目的:分析孕产妇死亡的原因,为降低孕产妇死亡率提供理论依据。方法:对河南省1996~2010年25个孕产妇死亡监测点资料进行分析。结果:1996~2010年妊娠合并心脏病死亡人数占总死亡数22.00%,死亡率为3.51/10万。1996~2010年,孕产妇死亡率呈下降趋势,心脏病死亡率各年份有波动。98例死亡孕产妇中,无孕检者23例,占23.47%,孕检次数≤3次者37例,占37.76%,3次~7次者27例,占27.55%,≥7次者11例,占11.22%;其中初检孕周≤12周者28例,占28.57%,12周~28周者38例,占38.78%,≥29周9例,占9.18%。计划内63人,占64.29%,计划外35人,占35.71%。结论:妊娠合并心脏病是孕产妇死亡的主要原因,在河南省前5位。
Objective: To analyze the causes of maternal death and provide a theoretical basis for reducing maternal mortality. Methods: The data of 25 maternal death monitoring sites in Henan Province from 1996 to 2010 were analyzed. Results: Between 1996 and 2010, the number of deaths from pregnancy complicated with heart disease accounted for 22.00% of the total deaths and the death rate was 3.51 / 100,000. From 1996 to 2010, the maternal mortality rate showed a downward trend and the mortality rate of heart disease fluctuated from year to year. Among the 98 pregnant women who died, there were 23 cases without pregnancy test, accounting for 23.47%, 37 cases with less than 3 times pregnancy test, accounting for 37.76%, 27 cases with 27 cases (27.55%), 7 cases with ≥7 times Cases, accounting for 11.22%. Among them, 28 cases (28.57%) had initial pregnancy weeks ≤12 weeks, 38 cases (38.78%) from 12 weeks to 28 weeks and 9 cases (9.18%) ≥29 weeks. 63 people plan, accounting for 64.29%, 35 people plan, accounting for 35.71%. Conclusion: Pregnancy complicated with heart disease is the leading cause of maternal mortality in the top 5 in Henan Province.