2000～2011年青海省孕产妇死亡情况分析

目的分析青海省孕产妇死亡率及死因，有效干预孕产期保健，保障母婴安全。方法采用回顾性分析的方法，对青海省2000—2011年孕产妇死亡情况进行分析，探讨孕产期干预与孕产妇死亡的关系。结果青海省孕产妇死亡率从2000年的142．2／10万下降到2011年的46．14／10万，呈逐年下降趋势，死因前4位依次为产科出血、妊娠高血压综合症、内科合并症、产褥感染。结论2000～2011年孕产妇死亡率逐年下降。健全妇幼保健三级网络及产科能力建设，畅通产科绿色通道，提高住院分娩率，进一步降低孕产妇死亡率。

Anesthetic effect of propofol combined with fentanyl and misoprostol for artificial abortion

Objective To characterize trend of maternal mortality and to examine causes of death in Qinghai Province, 2000-2011. Methods Retrospective analysis of maternal mortality date collected in the province during the period of 2000 and 2011 was conducted. Results During the study period, maternal mortality fell from 142.2 per 100,000 live births in 2000 to 46.14 per 100,000 live births. The first four most common causes of death were obstetric hemorrhage, pregnancy-induced hypertension syndrome, medical complications, and puerperal infection. Conclusion There was a significant decline in maternal mortality in Qinghai Province from 2000 to 2011. Further efforts should be made to reduce maternal mortality with measures including maternal and child health case capacity-building, free obstetric green channel, and institutional delivery, among others.