【摘要】 目的总结四川省2004~2008年孕产妇死因变化趋势,为采取切实可行措施降低孕产妇死亡率提供依据。方法对四川省2004~2008年488例孕产妇死亡病例的死因变化趋势及构成情况进行调查和分析。结果产科出血及妊娠合并症死亡始终占5年来孕产妇死亡原因的前两位,产科出血特别是产后出血已有明显降低,妊娠合并症种类逐步增加。讨论根据死因变化情况,针对不同地区及相关问题提出切实可行的干预措施,充分利用妇幼卫生项目平台,加强培训,推广产科适宜技术,规范基本操作,是降低孕产妇死亡率的重要保证。更多还原

【Abstract】 Objective To provide scientific evidence for taking enforceable and effective measures to decrease maternal mortality rate.Methods We investigated and analysed the tendency of maternal death and its associated factors in 488 cases of the last 5 years.Results The primary causes of maternal death were obstetric bleeding and complications of pregnancy.Obstetric bleeding,especially postpartum haemorrhage,was significantly decreased.Complications of pregnancy were gradually increased.Conclusion Based on various causes of death,it is suggested to put forward practical interventions according to different areas and associated problems,take full advantage of the maternity and child health project,enhance the training,promote appropriate obstetric technologies and standardize the basic operations to decrease maternal mortality.更多还原