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目的：根据孕产妇死亡评审结果分析2007－2011年甘肃省孕产妇死亡率及孕产妇死亡的死因构成及其影响死亡的主要因素，提出针对性的干预措施，有效降低孕产妇死亡率。方法收集整理2007－2011年甘肃省24个孕产妇死亡监测点资料，进行回顾性分析及统计。结果孕产妇死亡率从2007年的69．80／10万下降至2009年的30．48／10万，2010年出现反弹升为38．42／10万，2011年又降为31．87／10万，尤其是城市的孕产妇死亡率降至19．46／10万，创历史最低。孕产妇死亡的主要原因分别为：产科出血、妊娠合并心脏病、其他疾病、妊娠期高血压疾病、羊水栓塞。影响死亡的因素主要是医疗保健系统和个人家庭知识技能及个人的就医态度。结论降低孕产妇死亡率需要社会各部门密切配合，进一步提高孕产妇保健意识和产科服务质量，加大健康教育宣传力度，提高各级医务人员助产技术和急救水平，完善医疗救助体系是降低孕产妇死亡的关键措施。“,”[ ABSTRACT] Objective To analyze the maternal mortality rate, death causes and main factors impacting deaths from 2007 to 2011 in Gansu Province based on the results of the review of maternal deaths, and put forward the targeted intervention measures to ef-fectively reduce maternal mortality.Methods The data from 24 monitoring points of maternal mortality during 2007-2011 in Gansu province was collected and analyzed with a retrospective study.Results The maternal mortality rate decreased from 69.80/100 000 in 2007 to 30.48/100 000 in 2009, but rebounded in 2010 to 38.42/100 000.However, it dropped to 31.87/100 000 in 2011.The ma-ternal mortality in cities in particular dropped to 19.46/100 000, which is the lowest in history.The main reasons for maternal death were obstetrical hemorrhage, pregnancy combined with heart disease, other diseases, pregnancy-induced hypertension, and amniotic fluid embolism.The main factors impacting mortality rate were the health care system, the medical knowledge and skills of family, and the personal attitudes of seeking medical advice.Conclusion In order to reduce maternal mortality,it needs all social sectors to coop-erate closely, further improving maternal health care consciousness and the quality of obstetrical services, enhancing publicity of health education, and improving the midwifery and first aid skills of all levels of medical personnel.In addition, perfecting the medical assis-tance system is the key measure to reduce the maternal mortality.