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目的:通过对77例孕产妇死亡原因的分析,提出降低孕产妇死亡率的干预措施。方法:对长春地区2003～2007年间10个县(区)的孕产妇死亡报告卡、死亡调查附卷、报表及评审资料进行分析。结果:长春地区5年的孕产妇死亡率基本呈逐年下降趋势,产后出血呈上升趋势,仍为死亡原因第1位,妊娠期高血压疾病与内科合并症均有所上升。产前未进行孕检者8例,占10.39%,死亡孕产妇中经产妇占42.85%。结论:仍需针对病因,进一步降低孕产妇死亡率。
Objective: To analyze the causes of maternal death in 77 cases and put forward the interventions to reduce the maternal mortality rate. Methods: The maternal death report card, the questionnaire of death investigation, the report form and the assessment data of 10 counties (districts) in Changchun from 2003 to 2007 were analyzed. Results: The 5-year maternal mortality rate in Changchun was basically decreasing year by year. The postpartum hemorrhage showed an upward trend and remained the first cause of death. Hypertensive disorders in pregnancy and medical comorbidities both increased. 8 cases did not have prenatal pregnancy test, accounting for 10.39%, 42.85% of the pregnant women died of maternal death. Conclusions: The etiology is still needed to further reduce maternal mortality.