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本文对西北地区三个妇幼卫生项目县1990~1992年间162例死亡孕产妇进行了死因及死亡危险因素分析。孕产妇死亡的首位原因是产科出血,占全部死亡的63.6%;其次是妊高征、产褥感染及心脏病。1:1配对病例对照研究资料采用了单因素分析和条件Logistic回归分析,结果揭示孕产妇无文化、无经济收入、计划外妊娠、认为在家分娩好、胎盘滞留是影响孕产妇死亡的主要危险因素。并针对提示的问题进行了讨论。
In this paper, 162 maternal deaths in three maternity and child health counties in Northwest China from 1990 to 1992 were analyzed. The first cause of maternal death was obstetric hemorrhage, accounting for 63.6% of all deaths, followed by PIH, puerperal infection and heart disease. 1: 1 paired case-control study data using univariate analysis and conditional Logistic regression analysis revealed that pregnant women without culture, no economic income, unplanned pregnancy, that good delivery at home, the retention of the placenta is the main risk factors affecting maternal mortality . And discussed the issues that prompted.