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通过对上海市宝山区１９８９～１９９８ 年１０ 年围产儿死亡原因进行分析，以探索降低围产儿死亡率的有效途径，提高地区母婴保健水平。结果：１０ 年围产儿数５３ ４３５ 例，死亡５８６ 例，围产儿死亡率平均为１０．９７‰。其中本市围产儿死亡率为９．０９‰（３７１／４０ ８０５），在本市的流动人口围产儿死亡率为１７．０２‰（２１５／１２ ６３０）。近５ 年（１９９４～１９９８ 年）中，本市人口围产儿死亡率为６．１０‰（９９／１６ ２３８），流动人口围产儿死亡率为１５．２７‰（１３８／９ ０３５），相对危险性为２．５ 倍，差别有显著性（Ｐ＜ ０．０１），比北京市朝阳区报道的５．７ 倍低。１０ 年中围产儿死亡原因依次为死胎原因不明占１６．０４％ 、畸形占１５．３６％ 、缺氧占１３．１４％ 、早产占１２．４６％ 、脐带因素占１２．２９％ 、母亲因素占１０．２４％ 、胎盘因素占７．００％ 、其他占１３．４８％ 。１０ 年中总围产儿死亡率呈下降趋势，其中本市人口围产儿死亡率近５ 年下降明显，致死性畸形下降缓慢，上升为第１ 位死因，应加强产前诊断和孕前保健。流动人口近５ 年围产儿死亡率呈上升趋势，主要死因为早产和缺氧，应加强流动人口孕产期保健，并制止非法?
By analyzing the causes of perinatal deaths in Baoshan district of Shanghai from 1989 to 1998 for 10 years, we explore effective ways to reduce perinatal mortality and improve the level of maternal and infant health care in the area. Results: The number of perinatal children was 53,435 and the death rate was 586 in 10 years. The average perinatal mortality rate was 10.97 per thousand. The perinatal mortality rate in this municipality was 9.09 ‰ (371/40 805). The perinatal mortality rate among floating population in the city was 17.02 ‰ (215/12 630). In the past five years (from 1994 to 1998), the perinatal mortality rate in this municipality was 6.10 ‰ (99/16 238), while the perinatal mortality rate in floating population was 15.27 ‰ (138/9 035). The relative risk Sex 2.5 times, the difference was significant (P <0.01), lower than 5.7 times reported in Beijing Chaoyang District. The causes of perinatal death in 10 years were as follows: unexplained causes of stillbirth accounting for 16.04%, malformations accounting for 15.36%, hypoxia accounting for 13.14%, premature birth accounting for 12.46%, umbilical cord factors accounting for 12.29%, mothers’ factors Accounting for 10.24%, placenta accounted for 7.00%, other accounted for 13.48%. The total perinatal mortality rate showed a downward trend in 10 years, of which the perinatal mortality rate in this city dropped significantly in recent 5 years. The lethal deformity decreased slowly and rose to the first cause of death. Prenatal diagnosis and prenatal care should be strengthened. Floating population in the past 5 years the perinatal mortality rate is on the rise, the main cause of death is premature birth and hypoxia, migrant women should strengthen the health care and stop illegal?