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目的:分析及探讨造成孕产妇死亡的原因及影响因素,提高产科质量,降低孕产妇死亡率。方法:收集1990年1月—2006年12月20例死亡孕产妇临床资料,分析孕产妇死亡原因,了解孕产妇死亡的影响因素。结果:造成孕产妇死亡的主要原因是直接产科因素,主要包括妊娠高血压疾病、产科出血,30%的死亡通过恰当的产科干预可以避免。结论:孕前、孕期的保健及健康教育的普及在孕产妇死亡原因中占主要原因,产科急救技术的提高是挽救孕产妇生命的另一关键。
Objective: To analyze and discuss the causes and influencing factors of maternal mortality, improve the quality of obstetrics and reduce the maternal mortality rate. Methods: Twenty cases of maternal deaths from January 1990 to December 2006 were collected. The causes of maternal death were analyzed, and the influencing factors of maternal mortality were analyzed. Results: The main causes of maternal mortality were direct obstetric causes, including mainly hypertensive disorders of pregnancy, obstetric hemorrhage and 30% of deaths were avoided by proper obstetric interventions. Conclusion: Pre-pregnancy and prenatal health education and the popularization of health education are the main causes of maternal mortality. The improvement of obstetric first-aid techniques is another key to saving maternal life.