提高住院分娩率和产科质量是降低孕产妇死亡率的关键

KEY OF REDUCE THE RATE OF MATERNAL DEATH IS RISING THE RATE OF DELIVERY IN HOSPITAL AND OBSTETRIC QUALITY.

本研究以河北省４个妇幼卫生项目县为现场，对１９９０年１月１日～１９９２年１２月３１日三年间全部死亡孕产妇与其有关的卫生服务及死因进行了调研。结果表明：调研地区孕产妇死因前两位为产科出血、产褥感染。可能与其大部分在家分娩，由未经培训过人员接生、接生质量低劣等有关。从而提出，提高住院分娩率和产科质量是降低孕产妇死亡率的关键。还提出，全社会重视妇女受教育的问题，提高妇女的社会地位，使其拥有生殖权力是提高住院分娩率的重要条件。

Based on the research dead reason and health service relative all the maternal death from Jan. 1th 1990 to Dec.31th 1992 at 4 MCH project counties in HeBei,we drew conclusion that the first two dead reason is Obstetric hemorrhage,Puerperal infection.It was concerned with that most of the pregnant women delivered at home,delivered by untrained staff and the bad delivery quality.We point in the thesis that the key of reduce the rate of maternal death is rising the rate of delivery in hospital and Obstetric quality and the important condition of rising rate of delivery quality are rising the womens social position and own the right of reproduction.