【摘要】 目的　对苏州市 1989～ 2 0 0 0年孕产妇死亡的相关因素和存在的问题进行评估。方法　按全国统一要求 ,填写妇幼卫生报表、孕产妇死亡卡和漏报调查表 ,并经市围产协作专家组评审和分析。结果　苏州市 12年间活产分娩数为6 0 195 5 ,孕产妇死亡 15 5人 ,平均孕产妇死亡率 2 5 .75 / 10万 ,前 6年为 32 .5 4 / 10万 ,后 6年为 15 .2 3/ 10万。产科直接与间接原因致死率之比为 :前 6年 1.4 8∶1;后 6年 0 .89∶1。死因顺位依次为 :产后出血、内外科合并症、羊水栓塞、心脏病、妊高征。后 6年改为 :内外科合并症、羊水栓塞、心脏病、产后出血。结论　规范助产技术的资格认证制度并对其常年监控 ,减少不恰当的干预 ,扩展和更新产科医生知识范围 ,加强孕产妇的系统管理 ,从而降低孕产妇死亡率 ,为近期的重要任务和今后的努力方向。更多还原

【Abstract】 Objective:To evaluate correlative factors and remaining problems of maternal mortality in Suzhou from 1989 to 2000.Methods: Women and children’s health report forms, maternal death cards and fail-to-report survey tables filled in by specific health workers in accordance with the country’s unified standard are gathered, appraised and analyzed by Suzhou Perinatal Coopera tion Expert Group. Results: There were 601,955 live birth deliveries with 155 maternal dead in 12 years. The mean maternal mortality was 25.75/100,000, the former six years being 31.55/100,000, the latter six years being 15.23/100,000. The ratio of death by direct and indirect obstetric causes and was1.48∶1 in former six years with the sequential death causes of postpartum hemorrhage,internal and surgical complications, amniotic fluid embolism, heart diseases and pregnancy--induced hypertension syndrome and 0.89∶1 in latter six years with sequential death causes of internal and surgical complications, amniotic fluid embolism,heart diseases and postpartum hemorrhage.Conclusions: The maternal mortality can be reduced through standardization and perennial surveillance of delivery-assitting qualification system,reduction of inappropriate intervention, expansion and renewal of obstetrician’s knowledge and improvement of systematic management of maternal women. These are essential tasks and objectives in the near future.更多还原