某医院2006—2016年45例孕产妇死亡原因分析

Analysis of 45 cases of maternal death from 2006 to 2016 in a hospital

目的分析孕产妇死亡原因及影响因素,为降低孕产妇病死率提供依据。方法收集我院自2006年10月—2016年10月死亡孕产妇45例,对其年龄、孕期保健、死因及评审情况等进行回顾性分析。结果 11年间孕产妇病死率总体呈下降趋势。17例死于直接产科因素,28例死于间接产科因素。18例为不可避免死亡,27例为可避免死亡。我院分娩的产妇主要受孕产妇个人及其家庭因素影响,外院分娩后转入我院的孕产妇还受医疗保健系统的知识技能、医疗资源等因素影响。结论加强宣传教育及围产期保健,提高孕产妇保健意识,提高医务人员的技术水平,是降低孕产妇死亡率的有效措施。

Objective To analyze the causes and influencing factors of maternal mortality and provide the basis for reducing maternal mortality. Methods Forty-five cases of maternal death were collected in our hospital from October 2006 to October 2016, and their age, pregnancy care, cause of death and their assessment were retrospectively analyzed. Results The mortality rate of maternal mortality showed a decreasing trend in 11 years. Seventeen died of direct obstetric factors, and 28 died of indirect obstetric factors. Eighteen cases were inevitable death, and 27 cases were avoidable death. The delivery mothers in our hospital were mainly affected by the individual and family factors of the maternal and family. The pregnant women transferred to our hospital after childbirth were also affected by the knowledge, skills and medical resources of the health care system. Conclusion It is an effective measure to reduce maternal mortality by strengthening propaganda, education and perinatal care, improving maternal health awareness and improving the technical level of medical staff.