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目的 探讨 10 a来孕产妇死亡中产科出血发生的原因及预防措施。方法 对全省 16个监测点 10 a孕产妇死亡中产科出血 177例进行了回顾性分析。结果 10 a孕产妇死亡中产科出血占孕产妇死亡的 4 3.9% ,而宫缩乏力仍是产科出血的首要原因。结论 提高住院分娩率是减少孕产妇死亡的首要措施 ,加强医疗保健人员的业务培训 ,提高其知识技能 ,是降低孕产妇死亡中产科出血的关键。
Objective To investigate the causes and prevention measures of obstetric hemorrhage during maternal death in the past 10 years. Methods Retrospective analysis was performed on 177 cases of obstetric bleeding in maternal mortality in 10 monitoring stations at 16 monitoring stations throughout the province. Results 10 maternal deaths accounted for 44.9% of maternal deaths among the maternal deaths, and uterine atony was still the leading cause of obstetric hemorrhage. Conclusion Increasing hospital delivery rate is the primary measure to reduce maternal mortality. Strengthening the training of health care workers and improving their knowledge and skills are the keys to reduce the incidence of obstetric bleeding in maternal death.