Analysis on affecting factors of maternal death

Objective:To explore the causes and affecting factors of maternal death in Henan,to study surveillance and intervention of maternal mortality ratio for descent maternal mortality ratio.Methods:The data from 25 monitoring stations of Henan from 1996 to 2008 were retrospectively analyzed.Results:Number of Live-births was 1 077 from 1996 to 2008 in Henan,the maternal mortality ratio was 49.33/100 000 of them,125 cases were in city,the maternal mortality ratio was 24.19/100 000;952 cases were in rural,the maternal mortality ratio was 57.13/100 000.The maternal mortality ratio was 22.16/100 000 in 2008 and 54.53/100 000 in 2 000.The top five causes of death were obstetric hemorrhage,hypertensive disorder complicating pregnancy,amniotic fluid embolism,pregnancy complicated with heart disease,pregnancy complicated with liver disease.The top five causes of death in city were obstetric hemorrhage,amniotic fluid embolism,pulmonary embolism,hypertensive disorder complicating pregnancy,pregnancy complicated with heart disease.The top five causes of death in rural were obstetric hemorrhage,amniotic fluid embolism,pulmonary embolism,hypertensive disorder complicating pregnancy,pregnancy complicated with heart disease.807 of 1 077(74.93%) were avoidable deaths and 270 of 1 077(25.07%) were unavoidable deaths.Conclusion:The maternal death is closely related with maternal health services,educational level,economic income level in Henan province.