fa مؤلفه‌های نادیده گرفته شده در بررسی مرگ‌های مادری آموزش بهداشت و ارتقاء سلامت education health and promotion گزارش مورد case report <font face="Calibri, sans-serif"><span style="font-size: 16px;"><b>-</b></span></font> <div style="text-align: justify;"><span style="font-size:10.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">The maternal mortality surveillance system is a retrospective policy aimed at investigating the deaths of pregnant mothers through reforming health system structures. The reduction in maternal mortality ratio (MMR) from 51 per 100000 live births in 2000 to 20 to 25 per 100000 in recent years is due to the implementation of this system, but the concern about the repetition of similar deaths under similar conditions is worrying, while the MMR in Iran is set to reach 9 per 100000 in 2030. Therefore, in order to achieve the desired level of MMR, we need a comprehensive determination to improve the life pattern by removing social, economic and cultural barriers so that pregnant mothers and their spouses can participate in providing and maintaining health.</span></span></span></div> مرگ مادری, نظام سلامت, بارداری, تعیین‌کننده‌های اجتماعی سلامت, کنش‌گران سلامت Maternal death, Health system, Pregnancy, Social determinants of health, Health actors 610 612 http://hsr.mui.ac.ir/browse.php?a_code=A-10-1179-1&slc_lang=fa&sid=1 Marjan Beigi مرجان بیگی beigi@nm.mui.ac.ir 0009-0001-4662-1211 Yes Assistant Professor, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery AND Reproductive Sciences and Sexual Health Research Center, Isfahan University of Medical Sciences, Isfahan, Iran استادیار، گروه مامایی و بهداشت باروری، دانشکده پرستاری و مامایی و مرکز تحقیقات علوم باروری و سلامت جنسی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران Ashraf Kazemi اشرف کاظمی kazemi@nm.mui.ac.ir No Professor, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery AND Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran استاد، گروه مامایی و بهداشت باروری، دانشکده پرستاری و مامایی و مرکز تحقیقات مراقبت‌های پرستاری و مامایی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران Elham Adibmoghadam الهام ادیب‌مقدم adibme921@gmail.com No Assistant Professor, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Iran استادیار، گروه مامایی و بهداشت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی گلستان، گرگان، ایران