目的:掌握孕产妇死亡情况的动态变化及死因,制定相应干预措施,降低孕产妇死亡率。方法:对唐山市2000～2005年孕产妇死亡65例进行分析。结果:孕产妇死亡率呈逐年下降趋势,死亡率农村高于城市。死于直接产科原因占63.1%,间接产科原因占36.9%。死因前4位是羊水栓塞、产科出血、心脏病和妊高征。评审结果可避免死亡占21.5%,创造条件可避免死亡占40.0%,不可避免死亡占38.5%。结论:加大宣传力度,提高住院分娩率,提高产科质量,重点应放在对农村人口的管理。 Objective: To master the dynamic changes of maternal deaths and cause of death, to develop appropriate interventions to reduce maternal mortality. Methods: 65 cases of maternal death in Tangshan from 2000 to 2005 were analyzed. Results: The maternal mortality rate showed a declining trend year by year, and the mortality rate in rural areas was higher than that in cities. 63.1% died of direct obstetric reasons and 36.9% of indirect obstetric causes. The first four causes of death were amniotic fluid embolism, obstetric hemorrhage, heart disease and PIH. As a result of the review, 21.5% of deaths were avoided, 40.0% of avoidable deaths were created, and 38.5% were inevitable deaths. Conclusion: To increase publicity efforts, improve hospital delivery rate and improve the quality of obstetrics, the emphasis should be placed on the management of rural population.