【摘 要】目的：了解10年来綦江县孕产妇死因变化情况，通过对基层产科质量技术培训，促进产科服务质量的提高。方法：对全县2001- 2010年12月死亡的43 例孕产妇个案资料进行统计学分析。结果10年间的活产数 76201例，孕产妇死亡 43 例，年平均死亡率56.43 /十万 ，死亡率近2年明显下降，死因占前三位的是产后出血，羊水栓塞、妊娠合并甲亢。结论：通过对基层产科质量技术培训，促进产科服务质量的提高，有效降低孕产妇死亡率。

    【关键词】孕产妇; 死亡原因;评价分析

    【中图分类号】 R 714.66 【文献标识码】A 【文章编号】1004- 7484(2012)04- 0387- 02

    【Abstract】Our purpose is to learn the changes of cause of maternal death in Qi Jiang County in the last ten years, and to improve the obstetrics grade of service through technical training in the basic level obstetrics. Method: To carry a statistical analysis on the casebooks of 43 pregnant women that were died in the whole county from 2001 to December, 2010. The result shows the live birth number is 76201 and maternal death number is 43. The annual mortality rate is 56.43 per hundred thousand and it has dropped apparently in the last two years. Three of the most important causes of death are Postpartum hemorrhage, amniotic fluid embolism and pregnant women with hyperthyroidism. To improve the obstetrics grade of service through technical training in the basic level obstetrics can effectively reduce maternal deaths rates. ......