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目的:掌握孕产妇死亡率及死因变化趋势,制定相应干预措施。方法:对扶沟县1990~2007年孕产妇死亡率、死亡原因、保健服务、影响因素分前、中、后6年进行统计分析。结果:孕产妇死亡率前、中、后6年呈明显下降趋势,死亡原因中羊水栓塞的构成明显提高;孕产妇分娩、死亡地点前、中、后6年无明显改变;可避免及创造条件可避免死亡占72.2%。结论:孕立妇保健服务有待规范;产科质量建设有待完善;规范宫缩素应用,加强新增接生人员专业培训及群众性健康教育,是进一步降低孕产妇死亡干预措施。
Objective: To grasp the trend of maternal mortality and cause of death and formulate corresponding interventions. Methods: The maternal mortality, causes of death, health services and influencing factors in Fugou County from 1990 to 2007 were analyzed statistically before, during and after 6 years. Results: The maternal mortality rate decreased obviously in the 6 years before, during and after the maternal death. The constitution of amniotic fluid embolism in the cause of death obviously increased. There was no obvious change in the maternal mortality before, during and after 6 years; avoidance and creation of conditions Avoid deaths accounted for 72.2%. Conclusion: Pregnant women’s health care services need to be standardized; quality of obstetrics needs to be improved; and the application of uterine contractions to strengthen the professional training of new birth attendants and mass health education are the interventions to further reduce maternal mortality.