目的分析广东省2014-2015年危重孕产妇监测结果,了解妊娠合并症及并发症发生的流行病学及影响因素,及时发现产科诊治及服务提供的薄弱环节,为广东省制定降低危重孕产妇病死率的干预措施提供科学依据。方法采用回顾性调查分析方法对2014-2015年广东省12家危重孕产妇监测医院产科入院,若妇产科未分开则为妇产科入院或分娩的孕产妇病例资料进行分析。由经培训的妇产科医生详细填写《孕产妇个案调查表》。结果共监测孕产妇109 715例,其中有与妊娠、分娩、产褥及流产相关的合并症或并发症病例50 203例,患病率为45.76%;危重孕产妇239例,发生率0.24%。结论危重监测工作便于掌握危重孕产妇发生的流行病学情况,有利于早发现、早治疗合并症和并发症,提高救治比例,减少危重孕产妇发生,从而达到预防孕产妇死亡的目的。 Objective To analyze the monitoring results of critical maternal in Guangdong from 2014 to 2015, to understand the epidemiology and influencing factors of pregnancy complications and complications, to find out the weak links in the diagnosis and treatment of obstetrics and to provide services in time, Rates of intervention provide a scientific basis. Methods Retrospective investigation and analysis was used to analyze the obstetrics and gynecology hospitalizations of 12 critically ill maternal monitoring hospitals from 2014 to 2015 in Guangdong province. Fill in the “Maternal Questionnaire” by a trained obstetrician and gynecologist. Results A total of 109 715 pregnant women were monitored. There were 50 203 cases of complications or complications related to pregnancy, childbirth, puerperal and abortion, the prevalence rate was 45.76%. The number of critically ill pregnant women was 239, with a rate of 0.24%. Conclusions The monitoring of the graveness makes it easy to grasp the epidemiological status of critically ill pregnant women, which is good for the early detection and early treatment of complications and complications, improves the treatment ratio and reduces the incidence of critical pregnant women, so as to achieve the goal of preventing maternal death.