20例孕产妇猝死相关因素分析

The Analysis on the Relative Factors of 20 cases of Pregnant Women's Sudden Death

目的：探讨孕产妇猝死相关因素，提出本地区降低孕产妇死亡率的干预措施。方法：根据2000～2004年孕产妇死亡评审个案报表资料进行回顾性分析。结果：①5年间孕产妇死亡36例，其中孕产妇猝死20例（占55．56％）。②孕产妇猝死流行病学特点为文化程度低，计划外妊娠且家庭经济贫困的外来流动孕产妇占比例居高（占95％）；死亡地点集中在家中和个体诊所（共占65％）。③死因以产后出血多见（占80％），85％猝死时间〈6h同时伴有27．78％的围产儿死亡。④三级评审结论可避免死亡3例，创造条件可避免死亡17例，分别占15％、85％，影响死亡主要因素涉及到个人、家庭、知识和态度以及社会其它相关部门管理方面。结论：重视流动孕产妇的管理，提高孕产妇保健意识，更新观念，大力宣传住院分娩的好处，并建立贫困孕产妇救助资金，加大《母婴保健法》执法力度，取缔无证诊所，严厉查处非法接生是本地区降低孕产妇死亡率的措施。

Objective： To probe into the relative factors of pregnant women＇s sudden death, and provide its interval measure. Methods： Retrospective analysis was done based on the pregnant death review case data from 2000 to 2004. Results： ①In the five years , 36 eases pregnant death, of them 20 eases sudden death （55.56%） .②The epidemiologieal feather of sudden death is their eulture degree are low , the proportion of outer moving pregnant women , whose pregnant is out plan and family economy are poverty, is high （95%） ; death position centralize in the home and clinic （65%） . ③Most of death cause is postproduce hemorrhage （80%）, the death time of 85% is 〈6 h , at the same time, 27.78% periproduee newborn died. ④The conclusion of three levels review is 3 cases can be avoidable , 17 eases can be avoidable qualificatly , they are 15%, 85%, main death effect factors are dividual, family, knowledge and attitude and other social department management. Conclusion： The measure of decreasing the pregnant mortality are to pay attention to moving pregnant women＇s management, increase health idea , update notion, propagandize the benefit of pregnant in hospital, establish help fund, strength the executive force of 〈 Mother and Infant Healthcare law 〉, ban the certificateless clinic, check unlaw accouche strictly.