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目的:分析南京市化工园区8年来围产儿死亡率变化趋势及影响因素,探索降低围产儿死亡率的有效干预措施。方法:对2007年10月~2015年9月145例围产儿死亡情况进行统计分析。结果:8年来围产儿平均死亡率为5.72‰,并呈下降趋势;围产儿死因前3位分别为胎儿先天畸形(33.79%)、脐带胎盘因素(22.76%)、早产及低出生体重(13.1%)。结论:全面开展健康教育,加强流动人口孕产妇等重点人群管理,提高孕产妇系统管理率,有效实施产前筛查和产前诊断,可有效降低围产儿死亡率。
OBJECTIVE: To analyze the change trend and influencing factors of perinatal mortality in Nanjing Chemical Industry Park over the past eight years, and to explore effective interventions to reduce perinatal mortality. Methods: From October 2007 to September 2015, 145 cases of perinatal death were statistically analyzed. Results: The average perinatal mortality rate was 5.72 ‰ in 8 years and showed a decreasing trend. The first three causes of perinatal death were congenital malformation (33.79%), umbilical cord placenta (22.76%), premature birth and low birth weight (13.1% ). Conclusion: To carry out health education in an all-round way, strengthen the management of key population such as pregnant women who are floating population, improve maternal system management rate, conduct prenatal screening and prenatal diagnosis effectively, and reduce perinatal mortality effectively.