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1986年10月1日～1987年12月30日,我科住院分娩的围产儿死亡69例,围产儿死亡率31.3‰,矫正死亡率为16.79‰。前五位死因为脐带因素、早产、畸形、产前流血和胎位不正。脐带因素是死胎(23例,占33.33％)的主要死因,目前尚无有效方法治疗,主要是预防。早产为新生儿死亡(27例,占39.13％)的首要死因,防治措施有:1.做好高危孕妇的系统监测;2.侧卧位改善胎盘供血,扩张血容量,减少或避免刺激;3.药物抑制宫缩;4.当分娩为不可避免时,停止使用宫缩制剂,避免创伤,氧气吸入预防颅内出血;5.为防止早产儿的呼吸窘迫综合征,宫内应用激素。
From October 1, 1986 to December 30, 1987, 69 cases of perinatal death in our department were hospitalized. The perinatal mortality rate was 31.3% and the corrective mortality rate was 16.79%. The first five deaths due to umbilical cord factors, premature birth, deformity, prenatal bleeding and fetal position is not correct. Umbilical cord factor is the leading cause of fetal death (23 cases, 33.33%), there is no effective method of treatment, mainly prevention. Preterm birth is the leading cause of death for newborns (27 cases, 39.13%). The prevention and treatment measures include: 1. To monitor the system of high-risk pregnant women; 2. To improve the blood supply of the placenta, reduce blood volume and reduce or avoid irritation; 4. Drugs inhibit contractions; 4. When the delivery is inevitable, stop using the contractions, to avoid trauma, oxygen inhalation to prevent intracranial hemorrhage; 5. To prevent respiratory distress syndrome in preterm children, intrauterine hormone.