山东省莒县20年孕产妇死亡原因分析

Analysis of Death Causes of Pregnant and Puerperal Women in Juxian County Shandong Province in 20 Years

目的 为降低本县孕产妇死亡率提出防治措施。方法 根据县妇幼保健站 1978年至 1997年 2 0年县、乡医院上报的孕产妇死亡原始记录 ,对死亡原因及死亡率进行回顾性分析。结果 死亡率 35 .0 8/ 10万 ,死亡主要原因依次为产科出血 (30 .6 9% ) ,妊高征 (14 .85 % ) ,妊娠合并心脏病 (13.86 % ) ,产科感染 (11.88% )。结论 加强计划生育工作 ,认真开展围产期保健 ,提高孕产妇文化、生活水平 ,提高住院分娩率是降低孕产妇死亡的重要措施 ;提高基层助产人员对高危妊娠的诊断、处理水平和对急危重症病人的抢救水平 。

Objective To investigate and analyze the death causes of pregnant and puerperal women in Juxian during the past 20 years, and provide the prevention and managements. Methods To analyze retrospectively the mortality and the death causes based on the primitive death records of pregnant and puerperal women in urban and rural hospitals from 1978 to 1997. Results The mortality was 35.08/100,000;the main death causes was obstetric hemorrhage(30.69%), pregnancy induced hypertension(14.85%), heart disease (13.86%) and puerperal infection (11.88%). Conclusion In order to reduce the mortality it is important measures to strengthen family planning service, perform perinatal care, improve the living and cultural condition and increase hospital delivery rate, to increase the diagnostic and treating level to the high risk pregnant and to increase the resuscitation level to the imminence patients.