河南省漯河市通过 3次调查 ,发现了导致孕产妇死亡率居高不下的原因。针对产科建设中存在的问题 ,他们依法对接生工作实行了全行业管理 ,采取了各种措施完善基础设施 ;以换发《母婴保健技术服务执业许可证》为契机 ,狠抓产科建设 ,并建立与完善了产科及孕产妇管理制度 ;加强了助产人员的业务技术培训。在各级领导的重视与支持下 ,该市的产科质量有了明显提高 ,孕产妇死亡率和婴儿死亡率大幅度下降 The Luohe City of Henan Province passed three investigations and found that the cause of high maternal mortality was high. In view of the problems existing in obstetrics construction, they implemented management of the whole industry according to law, adopted various measures to improve infrastructure, and took the opportunity of renewing the “Practice Permit for Maternal and Child Health Care Technology Services” as an opportunity to focus on the construction of obstetrics and Established and improved obstetrics and maternity management systems; strengthened training of midwifery personnel in business skills. With the attention and support of leaders at all levels, the quality of obstetrics in the city has significantly improved, and maternal mortality and infant mortality have decreased significantly.