Objective: To explore the mortality factors of migrant pregnant women and learn the healthcare utilization status to provide efficient interventions.
Methods: A case-control study was conducted in Zhejiang province with a case-control ratio of 1: 4. Cases included migrant pregnant women who died. And controls were migrant pregnant women who survived and matched with single birth, age, hospital and gestational weeks. A questionnaire was used to survey social and demographic factors, healthcare status during antenatal or postpartum period and delivery conditions, etc.
Results: Seventy-two cases and 288 controls were recruited. There were significant differences in socio-demographic, antenatal care and obstetric complications between two groups (P < 0.05). No prenatal examination was an important factor affecting maternal mortality by multivariate conditional Logistic regression.
Conclusion: Prenatal examination is an important influencing factor of maternal mortality. And improving the ability of utilizing health care system is an efficient method of lowering the migrant maternal mortality.