46例孕产妇死亡原因分析

Analysis on 46 Deaths of Pregnant Women and Puerpera

目的:了解射洪县孕产妇死亡原因及影响因素。方法:对县妇幼保健院收集我县1996年-2008年度孕产妇死亡病例进行回顾分析。结果:1996年-2008年活产婴儿数87571人,孕产妇死亡46例,死亡率52.53/10万,死亡原因首位是产科出血27例(58.7%),妊娠期高血压病4例(8.7%),羊水栓塞1例(2.1%),合并内科疾病14例(30.4%);死亡地点在家及个体诊所14例(30.4%)、乡镇卫生院13例(28.3%)、县城医疗机构19例(41.2%)。结论:加强孕产妇保健管理,取缔非法接生,提高基层产科人员和医疗机构处理妊娠合并症与并发症的急救能力,是降低孕产妇死亡的关键。

Objective： To understand the death causes and the influencing factors of pregnant women and puerpera.Methods： We analysed the cases of pregnant and lying-in women＇s death from 1996 to 2008 in our county.Results： From 1996 to 2008,the number of the live-born children was 87571 and the number of pregnant and lying-in women＇s death was 46.The mortality rate was 52.53/100000.Obstetric hemorrhage was the top cause which resulted in death.The number of obstetric hemorrhage was 27（58.7%）,pregnancy-induced hypertension was 4（8.7%）,amniotic fluid embolism was 1（2.1%） and the rest 14 cases（30.4%） had suffered from other internal diseases.14 deaths（30.4%） of the fatal cases were at home and private or other clinics,13 deaths（28.3%） in the township hospitals and 19（41.2%） in county-level medical units.Conclusion： There are many important measures which can reduce pregnant and lying-in women＇s death,for example,strengthening the maternal health management,banning illegal delivery and improving the first-aid ability about dealing with obstetric and medical complications of pregnancy at grass-roots medical units.