Abstract：Objective To analyze the maternal death in pregnancy complicated by heart disease in Beijing in 1995-2017, and to explore corresponding intervention measures to reduce maternal mortality.Methods According to the national maternal mortality monitoring method, 64 maternal deaths of pregnant women with heart disease in Beijing from October 1, 1994 to September 30, 2017 were collected and analyzed.Results The mortality rate of pregnancy combined with heart disease in Beijing was 19/100 000 in 1995-2017, accounting for 12.5% of the total maternal deaths. The top three causes of death were congenital heart disease (22 cases, 34.4%), hypertensive heart disease during pregnancy (14 cases, 21.9%), and perinatal cardiomyopathy (7 cases, 10.9%). The top three risk factors for death were insufficient knowledge and skills of doctors (30 cases, 51.7%), weak health care awareness/poor compliance of patients (30 cases, 51.7%), and inadequate management of high-risk pregnant women (22 cases, 37.9%).Conclusion It is important to strengthen the knowledge and skills training of pregnant women with heart disease, strengthen the management of high-risk pregnant women, ensure the smooth channel of referral in hospital and between hospitals, strengthen the propaganda and education, and increase the social support.
于莹, 沈汝冈, 刘凯波, 杨惠娟, 刘凤洁, 张雪. 北京市1995—2017年妊娠合并心脏病孕产妇死亡分析[J]. 中国生育健康杂志, 2020, 31(1): 15-19.
YU Ying, SHEN Rugang, LIU Kaibo, YANG Huijuan, LIU Fengjie, ZHANG Xue. Analysis of maternal death in pregnancycomplicated by heart disease in Beijing 1995-2017. Chinese Journal of Reproductive Health, 2020, 31(1): 15-19.
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