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出 处:《中国妇幼保健》2012年第33期5285-5287,共3页Maternal and Child Health Care of China
基 金:河南省卫生厅医学科技攻关基金救助项目〔2009B03073〕;河南省教育厅自然科学研究计划基金项目〔2009B330001〕
摘 要:目的:分析孕产妇死亡的原因,为降低孕产妇死亡率提供理论依据。方法:对河南省1996~2010年25个孕产妇死亡监测点资料进行分析。结果:1996~2010年妊娠合并心脏病死亡人数占总死亡数22.00%,死亡率为3.51/10万。1996~2010年,孕产妇死亡率呈下降趋势,心脏病死亡率各年份有波动。98例死亡孕产妇中,无孕检者23例,占23.47%,孕检次数≤3次者37例,占37.76%,3次~7次者27例,占27.55%,≥7次者11例,占11.22%;其中初检孕周≤12周者28例,占28.57%,12周~28周者38例,占38.78%,≥29周9例,占9.18%。计划内63人,占64.29%,计划外35人,占35.71%。结论:妊娠合并心脏病是孕产妇死亡的主要原因,在河南省前5位。Objective:To analyze the causes of maternal death,and provide a theoretical basis for reducing maternal mortality.Methods:The data from 25 monitoring sites of maternal death from 1996 to 2010 were analyzed in He'nan province.Results:From 1996 to 2010,the number of maternal death with pregnancy combined with heart disease accounted for 22.00% of the total number of death,the maternal mortality was 3.51/100 000,showing a decreasing trend,the mortality of pregnant women with heart diseases fluctuated in different years.Among 98 maternal deaths,23 pregnant women(23.47%) didn't receive prenatal examination;37 pregnant women(37.76%) received prenatal examination for three or less than three times;27 pregnant women(27.55%) received prenatal examination for 3-7 times;11 pregnant women(11.22%) received prenatal examination for 7 or more than 7 times;28.57%(28 cases),38.78%(38 cases),and 9.18%(9 cases) of the pregnant women received prenatal examination for the first during ≤12,12-28,and ≥29 gestational weeks,respectively.The proportions of planned pregnancy and unplanned pregnancy were 64.29%(63 cases) and 35.71%(35 cases),respectively.Conclusion:Pregnancy combined with heart disease is one of the main causes of maternal death,ranking the top five place.
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