目的:了解农村家庭对孕产妇死亡直接费用选择的应对策略,为针对这部分家庭有效开展扶贫工作提供依据。方法:从2009年6月至2010年10月对河北、河南和云南省农村地区共195户死亡孕产妇家庭进行入户调查。文章调查了死亡孕产妇及其家庭的一般情况,孕产妇死亡后家庭选择的应对措施以及各措施所能支付直接费用的比例。结果:各有73.3%的家庭选择向亲友借款和接受亲友接济,44.1%的家庭获得医院赔偿。未获赔偿的家庭主要通过向亲友借款、动用现金与存款以及接受亲友接济分别支付直接费用的64.3%、18.3%和8.2%,来自新农合报销/住院分娩补助,以及各项政府救助仅可补贴直接费用的5.8%和0.5%。结论:孕产妇死亡后家庭采取了以获取医院赔偿、向亲友借款为主要资金来源的应对策略,提示政府扶贫工作应关注这部分家庭。 Objective: To understand the coping strategies of rural families on the direct costs of maternal mortality, and to provide a basis for this part of families to carry out effective poverty alleviation work. Methods: From June 2009 to October 2010, 195 families of pregnant women who died in rural areas in Hebei, Henan and Yunnan provinces were investigated. The article surveys the general situation of maternal deaths and their families, the response to family choices after maternal death, and the proportion of direct costs that each measure can pay. Results: 73.3% of the families each chose to borrow money from relatives and friends and take care of relatives and friends, while 44.1% of families received hospital compensation. Unreunited families paid 64.3%, 18.3% and 8.2% of direct costs mainly through borrowing money from relatives and friends, using cash and deposits and receiving assistance from friends and relatives, and from NCMS reimbursement / hospital delivery allowance and various government bailouts Subsidies 5.8% and 0.5% of direct costs. Conclusion: After the maternal death, the families adopted the coping strategies of obtaining hospital compensation and borrowing money from their relatives and friends as the main sources of funding, suggesting that the government should pay close attention to this part of the family in poverty alleviation work.