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目的探讨和分析围产儿死亡原因,为降低围产期围产儿死亡提供依据。方法对2011年10月1日-2012年9月30日期间在深圳市罗湖区妇幼保健院出生的130例围产儿死亡病例进行回顾性分析。结果在130例围产儿死亡中,死胎94例(72.31%),死产2例(1.54%),7天内新生儿死亡34例(26.15%)。产妇是本市户口有12例,非本市户口(流动及暂住)118例;130例围产儿死亡病例前5位原因分别是早产或低体重、死因不明、先天异常、妊娠期高血压疾病、先天性心脏病。结论加强三级妇幼保健网的建设,加强孕期保健知识宣传,做好高危孕产妇管理,必须加强流动人口孕产妇保健管理,特别是孕晚期的保健及宣教;实施规范的婚前医学检查,预防遗传性疾病和传染性疾病导致的畸形及预防早产,积极治疗妊娠合并症,加强监护等措施,有助于减少围产儿死亡的发生。
Objective To investigate and analyze the causes of perinatal death and provide basis for reducing perinatal perinatal death. Methods A retrospective analysis of 130 cases of perinatal deaths in MCH from Luohu District, Shenzhen from October 1, 2011 to September 30, 2012 was conducted. Results Of the 130 perinatal deaths, 94 (72.31%) stillbirths, 2 (1.54%) stillbirths, and 34 (26.15%) neonatal deaths within 7 days. Maternity is the city accounts for 12 cases, non-city accounts (flow and temporary residence) 118 cases; 130 cases of perinatal deaths were the top 5 causes of preterm birth or low birth weight, the cause of death is unknown, congenital anomalies, gestational hypertension Congenital heart disease. Conclusions To strengthen the construction of three-level maternal and child health care network, strengthen the publicity of health knowledge during pregnancy and do well in the management of high-risk maternal health, we must strengthen the maternal health management of floating population, especially the third trimester of health care and mission education; carry out standardized premarital medical examination and prevention of inheritance Deformities caused by sexually transmitted diseases and infectious diseases, prevention of premature births, active treatment of pregnancy complications and increased guardianship can help reduce the incidence of perinatal deaths.