Objective To understand the changing trend of maternal death in Futian District of Shenzhen and evaluate the quality of death assessment and intervention, so as to offer some evidence for seeking more effective interventions to reduce maternal mortality rate. Methods All the individual cases, evaluation data of maternal death and annual report of maternal systematic management from 2000 to 2011 in Shenzhen were analyzed retrospectively. Results Maternal mortality rate dropped from 67. 24 per 100 000 in 2000 to 13. 18 in 2011, and the average mortality during these 12 years was 26. 98 per 100 000 ( 61/226 076 ). The maternal mortality rate of resident population was obviously lower than that of floating population( X2 =37. 443 , P = 0.000 ). Compared with the maternal morality rate of the first 6 years, that of the latter 6 years was significantly lower( X2 =6. 344, P = 0. 012 ), and maternal mortality rate of floating population in latter 6 years dropped markedly(X2= 6. 149, P =0. 013 ). Evaluation of 61 maternal death indicated that avoidable death rate accounted for 5. 56% , avoidable death rate with set conditions was 55. 74% and inevitable death rate was 37. 70% . Of maternal death, 50. 82% was caused by direct obstetric reasons and 49. 18% by indirect reasons. Conclusion By perfecting maternal level-to-level administration system, establishing green channel for maternity who is heavily salted and needs first aid, carrying out maternal death review, implementing dropping away'project and the project of free antenatal examination and postpartum care and strengthening profession training and health education, the maternal morality rate in Futian District is decreased continuously, especially maternal mortality rate of floating population, which proves the effectiveness of measures mentioned above. Further intervention still remains to be taken.%目的 了解深圳市福田区孕产妇死亡的变化趋势,评价死亡评审的质量和干预措施的有效性,为寻找更有效降低孕产妇死亡率的干预措施提供依据.方法 对2000至2011年的孕产妇死亡个案和死亡评审资料、孕产妇系统管理工作年报表进行回顾性分析.结果 孕产妇死亡率从2000年的67.24/10万下降到2011年的13.18/10万,12年平均死亡率26.98/10万(61/226 076).常住人口孕产妇死亡率明显低于流动人口(χ2=37.443,P=0.000).对孕产妇死亡率前后6年分组比较,后6年明显低于前6年(χ2=6.344,P=0.012),其中流动人口孕产妇死亡率后6年较前6年下降明显(χ2=6.149,P=0.013).61例孕产妇死亡评审结论,可避免死亡5.56%,创造条件可避免死亡55.74%,不可避免死亡37.70%;直接产科原因导致孕产妇死亡占50.82%,间接产科原因导致孕产妇死亡占49.18%.结论 完善孕产妇分级管理制度、建立危急重症孕产妇急救绿色通道、开展孕产妇死亡评审、实施"降消"项目和免费产前检查产后访视项目、加强业务培训和健康教育等各项综合措施的落实,使福田区孕产妇死亡率不断下降,特别是流动人口孕产妇死亡率下降明显,证明措施可行有效,但需不断探索新的干预措施.
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