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对1989~1991年全国30省、自治区、直辖市247个监测点1.0亿人口范围内的孕产妇死亡监测资料进行分析。监测地区三年内活产总数4201457例,孕产妇死亡3274例,孕产妇监测死亡率平均为80.0/10万,调整后为87.8/10万。城市、农村、不同地区孕产妇死亡率的高低有明显差异,三年比较,城市、农村孕产妇死亡率呈下降趋势,农村更为明显。孕产妇死亡原因主要为产科出血、好高征、心脏病、产褥感染、羊水栓塞、肝病,产科出血主要原因为胎盘滞留、宫缩乏力。结果显示:可避免的死亡占89.0%,不可避免的死亡占11.0%。并对孕产妇死亡的有关问题进行讨论。
The data of maternal mortality monitoring within the population of 100 million from 247 monitoring sites in 30 provinces, autonomous regions and municipalities from 1989 to 1991 were analyzed. In the monitoring area, there were 4,201,457 live births in the past three years and 3274 maternal deaths. The average maternal mortality rate was 80.0 / 100,000 and 87.8 / 100,000 after adjustment. The levels of maternal mortality in urban areas, rural areas and different areas are significantly different. In the past three years, the maternal mortality rate in urban areas and rural areas shows a downward trend, and the rural areas are more obvious. Maternal deaths mainly due to obstetric hemorrhage, hyperkalexia, heart disease, puerperal infection, amniotic fluid embolism, liver disease, obstetric hemorrhage is the main reason for the retention of the placenta, uterine atony. The results showed that avoidable deaths accounted for 89.0% and inevitable deaths accounted for 11.0%. And discuss the issues related to maternal mortality.