目的通过对孕产妇死亡评审,分析死亡相关因素,改进孕产期保健工作中的不足。方法对黑河市2004-2007年孕产妇死亡情况进行分析。结果4年来黑河市孕产妇死亡呈逐渐上升趋势,羊水栓塞为首位死亡原因。家庭接生仍是影响孕产妇死亡的重要因素。结论应尽快建立健全妇幼保健服务三级网络,提高乡村妇幼保健服务质量,提高县级医疗保健机构产科抢救能力。 Objective To review the maternal mortality, analyze the related factors of death, and improve the deficiency of maternal health care. Methods The maternal deaths in Heihe City during 2004-2007 were analyzed. Results The mortality rate of pregnant women in Heihe City was gradually increasing over the past four years. Amniotic fluid embolism was the leading cause of death. Domestic delivery is still an important factor affecting maternal mortality. Conclusions A three-level network of MCH services should be established as soon as possible so as to improve the quality of MCH services in rural areas and improve the obstetric rescue capabilities of county-level healthcare institutions.