【摘要】 目的:探讨孕产妇猝死相关因素,提出本地区降低孕产妇死亡率的干预措施。方法:根据2000~2004年孕产妇死亡评审个案报表资料进行回顾性分析。结果:①5年间孕产妇死亡36例,其中孕产妇猝死20例(占55·56%)。②孕产妇猝死流行病学特点为文化程度低,计划外妊娠且家庭经济贫困的外来流动孕产妇占比例居高(占95%);死亡地点集中在家中和个体诊所(共占65%)。③死因以产后出血多见(占80%),85%猝死时间<6h同时伴有27·78%的围产儿死亡。④三级评审结论可避免死亡3例,创造条件可避免死亡17例,分别占15%、85%,影响死亡主要因素涉及到个人、家庭、知识和态度以及社会其它相关部门管理方面。结论:重视流动孕产妇的管理,提高孕产妇保健意识,更新观念,大力宣传住院分娩的好处,并建立贫困孕产妇救助资金,加大《母婴保健法》执法力度,取缔无证诊所,严厉查处非法接生是本地区降低孕产妇死亡率的措施。更多还原

【Abstract】 Objective:To probe into the relative factors of pregnant women’s sudden death, and provide its interval measure.Methods:Retrospective analysis was done based on the pregnant death review case data from 2000 to 2004.Results:①In the five years , 36 cases pregnant death, of them 20 cases sudden death(55.56%).②The epidemiological feather of sudden death is their culture degree are low , the proportion of outer moving pregnant women ,whose pregnant is out plan and family economy are poverty, is high(95%);death position centralize in the home and clinic (65%).③Most of death cause is postproduce hemorrhage (80%), the death time of 85% is <6 h , at the same time,27.78% periproduce newborn died.④The conclusion of three levels review is 3 cases can be avoidable , 17 cases can be avoidable qualificatly , they are 15%,85%, main death effect factors are dividual, family, knowledge and attitude and other social department management.Conclusion:The measure of decreasing the pregnant mortality are to pay attention to moving pregnant women’s management, increase health idea , update notion, propagandize the benefit of pregnant in hospital, establish help fund, strength the executive force of <Mother and Infant Healthcare Law>, ban the certificateless clinic, check unlaw accouche strictly.更多还原