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目的:分析孕产妇死亡的主要原因。方法:对桑植县妇幼保健院1999年1月1日~2006年9月30日死亡的52例孕产妇进行调查、核实及三级评审。结果:7年来桑植县孕产妇死亡共52例,平均孕产妇死亡率为117.36/10万;其中流动人口5例,计划外9例。孕产妇死亡主要原因为:①产科出血27例(不含羊水栓塞);②产褥感染6例;③羊水栓塞4例;④心脏病3例,⑤妊高征3例;⑥意外2例。结论:制定出有效的干预措施可降低孕产妇死亡率。
Objective: To analyze the main causes of maternal death. Methods: 52 cases of pregnant women who died in Sangzhi Maternal and Child Health Hospital from January 1, 1999 to September 30, 2006 were investigated, verified and evaluated at three levels. Results: In the past seven years, 52 maternal deaths occurred in Sangzhi County, with an average maternal mortality rate of 117.36 / lakh. Among them, 5 were floating population and 9 were unplanned. The main causes of maternal death were: ① obstetric hemorrhage in 27 cases (without amniotic fluid embolism); ② puerperal infection in 6 cases; ③ amniotic fluid embolism in 4 cases; ④ heart disease in 3 cases, ③ PIH in 3 cases; ⑥ accidents in 2 cases. Conclusion: Effective interventions can reduce maternal mortality.