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目的通过对围产儿死亡原因及相关因素分析,提出降低围产儿死亡率的干预措施。方法对2006年1月～2011年12月某院207例围产儿死亡情况进行回顾性分析。结果 6年间围产儿死亡率22.48‰,其中死胎160例占77.29%,死产22例占10.63%,7d内新生儿25例占12.08%;围产儿死亡中农村人口围产儿死亡率高于城市,差异显著;围产儿死亡原因首位是母亲因素(28.98%),第二位是先天畸形(21.26%)。结论提高婚检率及婚检质量,加强优生优育的知识宣传,完善孕期保健系统管理,提高孕妇尤其是基层孕妇文化素质和保健意识,加强基层保健医生业务培训,提高其诊疗水平,加强高危妊娠管理、产前筛查、产前诊断等是降低围产儿死亡的重要措施。
Objective To analyze the causes and related factors of perinatal death and propose interventions to reduce perinatal mortality. Methods A retrospective analysis of 207 cases of perinatal death in a hospital from January 2006 to December 2011 was performed. Results The perinatal mortality rate was 22.48 ‰ in 6 years, of which 160 cases of stillbirth accounted for 77.29%, 22 cases of stillbirth accounted for 10.63% and 25 cases of newborns accounted for 12.08% within 7 days. The perinatal mortality of perinatal death was higher than that of urban, The difference was significant. The cause of perinatal death was the first cause of mothers (28.98%), the second was congenital malformations (21.26%). Conclusion Improve the rate of premarital examination and the quality of premarital examination, strengthen the knowledge of prenatal and postnatal care, improve the management of the health care system during pregnancy, improve the cultural quality and health care awareness of pregnant women, especially of primary pregnant women, strengthen the training of primary health care practitioners, improve their diagnosis and treatment, Prenatal screening, prenatal diagnosis is an important measure to reduce perinatal death.