An analysis of monitoring data of maternal death in Shanghai

Objectives] To analyse the changes and causes of maternal death from 1989～1998,and to summarize the successful experience and discuss the rings to be broken through. [Methods] Analysis of data involved in the reports from monitoring networks for maternal death,the clinical investigation from the section of quality control and the reviews from specialist in obstetrics. [Results] The living birth delivered by local women kept decreasing by 38%,maternal mortality ranged from 11.47/100000 to 29.60/100000. Postpartum hemorrhage ranked first in causes of maternal death.The deliveries by women from other places had increased 3.43 times,the maternal mortality ranged from 29.08/100000 to 109.61/100000,the major causes of maternal death were hemorrhage and infection. [Conclusions] At cutting down maternal mortality,the success has been achieved to a certain extent,but some works such as training qualified obstetrician,professional administration and enforcing the law still need enhancing.