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目的:探讨温州市流动孕产妇死亡原因及相关因素,制定干预措施。方法:对本市2003~2006年43例流动孕产妇死亡资料进行多因素分析。结果:4年流动孕产妇死亡率平均为24.80/10万,流动人口中孕产妇死亡与个人经济状况差、文化程度低、计划外生育、非法接生等有关,死因首位为产科出血。结论:提高产科质量,加强流动孕产妇系统管理,依法取缔非法接生,提倡住院分娩,设立平价接生医疗机构,针对流动人口开展广泛的健康教育,提高自我保健意识。
Objective: To investigate the causes and related factors of mobile maternal death in Wenzhou and to develop intervention measures. Methods: 43 cases of mobile maternal deaths in our city from 2003 to 2006 were analyzed by multivariate analysis. Results: The average maternal mortality rate in four years was 24.80 per 100 000. Maternal death among floating population was related to poor personal economic status, low educational level, unplanned childbirth and illegal delivery. The cause of death was obstetric bleeding first. Conclusion: To improve the quality of obstetrics, strengthen the systematic management of mobile pregnant women, ban illegal delivery according to law, promote hospital delivery, establish parity medical institutions, carry out extensive health education for floating population and raise awareness of self-care.