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目的 :通过对本市 19891998年孕产妇死亡及相关因素分析 ,找出孕产妇系统保健工作存在的主要问题 ,为进一步降低孕产妇死亡率制定有效措施提供依据。方法 :由经培训过的乡 (镇 )妇幼保健医生对辖区内孕产妇死亡进行调查 ,填写死亡报告卡、上报、汇总分析。结果 :孕产妇死亡率呈总体下降趋势 ,孕产妇死亡原因及顺位是产科出血、妊高征、心脏病、妊娠合伴肝病 ;文化素质低、计划外生育、家庭接生、基层保健人员助产水平、孕产妇系统保健管理质量是孕产妇死亡的主要因素。结论 :强化业务培训进一步提高基层妇幼保健医生的助产水平及急救技能 ,提高孕产妇系统保健管理质量 ;坚持开展社区家庭健康促进项目 ,提高住院分娩率以达到降低孕产妇死亡的目的。
OBJECTIVE: To find out the main problems in maternal system health care through the analysis of maternal mortality and other related factors in 19891998 in our city, and to provide basis for further effective measures to reduce maternal mortality. Methods: Maternal and child health doctors trained by the township (town) investigated the maternal deaths in the area, filled in the death report card, reported and summarized the analysis. Results: The maternal mortality rate showed an overall downward trend. The causes of maternal mortality and obstetric bleeding were obstetric bleeding, pregnancy-induced hypertension, heart disease and pregnancy with liver disease. The students with low educational level, unplanned birth, family birth and primary care workers The quality of maternal health management is a major factor in maternal mortality. CONCLUSIONS: Intensified business training to further improve midwifery level of midwifery doctors and first aid skills and improve the quality of maternal health care management. We should stick to community health promotion projects and increase hospital delivery rate so as to reduce maternal mortality.