摘要
目的:通过孕产妇死亡评审及时发现和掌握各个环节中存在的问题,为相关部门针对性地提出干预措施及管理办法提供科学依据。方法:采用回顾性研究的方法,对四川省2009年孕产妇死亡资料依据世界卫生组织的"十二格法"进行评审分析。结果:2009年评审的病例中,77.95%为可避免死亡,22.95%为不可避免死亡;产科出血是孕产妇死亡的主要原因;影响因素中,医疗保健系统首次成为最大的影响因素,医务人员的知识技能是孕产妇死亡的主要影响因素之一,占24.17%,县、乡两级医务人员知识技能掌握对孕产妇死亡的影响最大,占80%以上。结论:现阶段全省医疗保健机构产科服务能力已成为制约四川省孕产妇死亡率降低的突出问题。建立健全稳定的妇幼卫生经费保障机制,加强妇幼保健三级网络建设,提高产科医护人员专业技术水平及产科质量,加强各部门间的协调和支持,是保障孕产妇生命安全的重要措施。
Objective：To find and grasp the existing problems timely by maternal death review,provide a scientific basis for relevant departments to propose intervention measures and management methods accordingly.Methods：A retrospective study was carried out to review and analyze the data of maternal death in Sichuan in 2009 by Twelve Lattice Law of WHO.Results：Among the cases reviewed in 2009,77.95% of the maternal death could be avoided,and 22.95% of the maternal death could not be avoided;obstetric hemorrhage was the main cause of maternal death;health care system became the biggest effect factor for the first time,the knowledge and skills of medical workers was one of the major effect factors,accounting for 24.17%,the mastery degree of knowledge and skills of medical workers in the hospitals at county and village levels had great impact on maternal death,accounting for more than 80%.Conclusion：At present,the obstetric service ability of medical health institutions in Sichuan is the dominant problem that restricts the decrease of maternal mortality.Establishing and perfecting a stable safeguard mechanism of maternal and child health funds,strengthening three-level network construction of maternal and child health,increasing the level of professional skills of medical workers and the quality of obstetric department,enhancing the cooperation and support between various departments are all important measures to ensure the maternal safety.
出处
《中国妇幼保健》
CAS
北大核心
2011年第16期2452-2454,共3页
Maternal and Child Health Care of China
