产科出血致71例孕产妇死亡分析

目的 寻找产科出血致孕产妇死亡的影响因素，制定切实可行的干预措施，降低茂名市孕产妇死亡率。方法对茂名市2001—2008年产科出血致孕产妇死亡个案及评审结果资料进行分析。结果8年来茂名市孕产妇死亡157例，孕产妇死亡率为24．40／10万，产科出血在孕产妇死亡构成比中占45．22％，子宫收缩乏力性产后出血占产后出血首位，占63．38％。结论应严历打击非法接生，提高住院分娩率；加强高危妊娠的管理和孕产妇的三级转诊，提高孕产妇系统管理质量；提高产科危重症抢救能力，降低产科出血的发生率。

The analysis of 71 case of maternal death caused by obstetric hemorrhage

Objective Find out the maternal mortality obstetric hemorrhage causes of ob-stetric hemorrhage, make the practical interventions,in order to reduce the rate maternal mortality in Maoming city.Methdos Investigate the assessment results of the maternal mortality caused by obstetric hemorrhage of Maoming city during 2008 to 2009.Results Among 8 years,there were 157 cases of maternal mortality, the maternal mortality rate were 24.40/100000, of which obstetric hemorrhage in the constituent ratio of maternal deaths accounted for 45.22％.Weak uterine contraction was the major factor causing postpartum hemorrhage, it accounts 63.38％.Conclusions It should be harsh against illegal midwifery,increase the rate of hospital delivery,to strengthen the management of high-risk pregnancies and maternal tertiary referral, to improve the quality of management systems for the pregnant, to improve the ability of emergency obstetric, to reduce the incidence of obstetric hemorrhage.