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目的:分析孕产妇死亡原因,以改进产科医疗服务工作,降低孕产妇死亡率。方法:2008年达州市乡(镇)医疗保健机构产科执业及人员现状调查,2005～2008年孕产妇死亡评审分析,并结合近几年来的孕产妇死亡漏报调查和孕产妇死亡及新生儿死亡纠纷的原因分析及病历的审查。结果:7个县、市(区)中心乡(镇)、普通乡(镇)(包括城市社区卫生服务中心)和其他医疗机构没有产科共336个,中心乡(镇)无证率为1.33%。普通乡(镇)无证率为47.50%,其他机构无证率为33.33%。普通乡(镇)无助产资格人员率占50.42%。结论:产科技术力量薄弱,产科建设滞后,执业产科人员分布不合理等,存在诸多产科方面的医疗缺陷。并针对产科方面的医疗缺陷与孕产妇死亡原因及防范对策进行探讨。
OBJECTIVE: To analyze the causes of maternal death to improve obstetric medical services and reduce maternal mortality. Methods: Obstetrics and gynecology practice and personnel status quo of the township (town) medical and health institutions in 2008, maternal death assessment and analysis from 2005 to 2008, combined with maternal mortality omissions in recent years and maternal mortality and neonatal death Analysis of Causes of Disputes and Examination of Medical Records. Results: There were 336 obstetrics and gynecology centers in 7 counties, townships (towns) and townships (towns) (including urban community health service centers) and other medical institutions, with a rate of 1.33% in central townships (towns) . Ordinary township (town) rate of 47.50%, 33.33% for other institutions without a permit. Ordinary township (town) no-help qualified personnel accounted for 50.42%. Conclusion: Obstetrics and gynecology weakness, lagging obstetric construction, obstetrics and gynecology staff distribution is not reasonable, there are many medical defects in obstetrics. And for obstetric medical defects and maternal mortality causes and preventive measures are discussed.