125例孕产妇死亡分析

Analysis of 125 Cases of Meternal Death

目的：通过对孕产妇死亡资料分析，寻求影响孕产妇死亡因素，为制定行之有效的干预措施提供依据。方法：对成都市2001～2006年度孕产妇死亡资料进行回顾性分析。结果：6年全市活产数438412人，孕产妇死亡125例，孕产妇死亡率28．51／10万，其中常住人口孕产妇死亡率21．85／10万，流动人口孕产妇死亡率71．73／10万。孕产妇死亡前三位原因依次是产科出血、内科合并症、其它疾病。结论：将孕期保健管理下沉到社区卫生服务中心，提高孕期保健覆盖率和保健质量，提高产科人员综合知识水平和综合急救能力，是降低孕产妇死亡的关键。

Objective：To analys the materal death rate in Chengdu, to identify the influencing factor and afford the basis of intervention study. Methods：To study tha data of materal death during 2001 - 2006 in Chengdu retrospectively. Results：The live birth was 438 412, the materal death was 125, and total death rate was 28.51 per 100 000 during the six years. And the death rate of the resident was 21.85 per 100 000, the death rate of the floating population was 71.73 per 100 000. The essential cause of materal death was obstetric hemorrhage, complication and other disease in turn. Conclusion： Fully displaying the role of the communities and enhance the management of the floating population, improving the quality and percent of health care during pregnancy, enhance the training of the obstetrician in comprehensive knowledge and emergency capability are the keys of reducing the materal death rate.