目的:通过分析西宁市10年来孕产妇死亡的资料,总结西宁市孕产妇死亡的经验和教训,为进一步做好围产期保健工作,降低孕产妇死亡率提供科学依据。方法:每年召开两次孕产妇死亡评审会,鉴定死因,分析是否可避免死亡或创造条件可避免死亡。结果:西宁市10年来孕产妇死亡率平均为93.68/10万,其中1996年—2000年间死亡率为117.45/10万,2001年—2005年间死亡率为76.03/10万;孕产妇的死因前4位依次为产科出血、妊娠合并症、妊高征、羊水栓塞。经专家评审:不可避免死亡57例占39.04%,可避免死亡36例占24.66%,创造条件可避免死亡53例占36.30%。结论:孕产妇死亡原因主要与围产期保健因素有关,尤其与医务人员的知识技能水平相关;另外,还与高原地区缺氧环境使孕妇机体产生低氧血症,妊高征、产后出血、妊娠合并心脏病等疾病发病率较高有关;交通不便,个人家庭因素,尤其是经济状况、文化水平、自我保健意识等也是相关因素。 OBJECTIVE: To summarize the experience and lessons of maternal mortality in Xining City by analyzing the data of maternal death in Xining City in the past 10 years, and to provide a scientific basis for further improving perinatal health care and reducing maternal mortality. METHODS: Two maternal death review sessions were held each year to identify the cause of death and to analyze whether avoidable death or conditions were created to avoid death. Results: The average maternal mortality rate in Xining City in the past 10 years was 93.68 / 100000, of which, the death rate was 117.45 / 100000 between 1996 and 2000, and the death rate was 76.03 / 100000 between 2001 and 2005; the first 4 Followed by obstetric hemorrhage, pregnancy complications, PIH, amniotic fluid embolism. According to expert review, inevitable deaths accounted for 39.04% in 57 cases, 36.6% of avoidable deaths, and 53% of them avoided creating deaths in 36.30%. Conclusion: The causes of maternal death are mainly related to perinatal health factors, especially with the knowledge and skills of medical staff; In addition, hypoxia, pregnancy induced hypertension, postpartum hemorrhage, Pregnancy with heart disease and other diseases with a higher incidence; traffic inconvenience, personal family factors, especially economic status, cultural level, self-care awareness is also related factors.