利用卫Ⅵ项目地区１９９７年孕产妇死亡资料，重点围绕孕产妇死亡水平、死因构成及死亡地点加以分析，并对孕产妇死亡率与部分服务利用指标进行了多元回归分析。结果显示，项目地区１９９７年报告的孕产妇死亡率平均为１０４．１／１０万活产，较项目开始前基线调查时有所下降，但仍高于全国农村平均水平；死因构成与基线调查时几乎无变化，第１位死因仍是产科出血，占孕产妇死亡的５８％。有４７％的孕产妇死于家中，这一比例较基线调查时有所减少。结果提示：在项目地区降低孕产妇死亡率所应解决的优先问题是减少产科出血引起的死亡；针对此问题的关键三环节是①提高家庭、村接生人员、村医及产科医生识别危险指征的能力；②保障紧急运送病人的通道；③提高乡、县级医院的抢救能力 Based on the data of maternal mortality in 1997 in Wei-Ⅵ project area, the author focused on the level of maternal mortality, the cause of death and the location of death, and conducted multiple regression analysis on maternal mortality and utilization of some services. The results showed that the average maternal mortality rate reported by the project area in 1997 was 104.1 / 100000 live births, which was lower than the baseline survey before the project started, but still higher than the national average in rural areas. The cause of death and baseline survey Almost no change, the first cause of death is still obstetric hemorrhage, accounting for 58% of maternal deaths. Forty-seven percent of pregnant women die at home, a decrease from the baseline survey. The results suggest that the priority problem to be solved in reducing maternal mortality in the project area is to reduce the death caused by obstetric hemorrhage. The key three aspects of this problem are: (1) to improve the identification of risk indicators by family and village delivery workers, village doctors and obstetricians Ability to ensure the emergency transport of patients access to improve the township and county hospital rescue capabilities