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目的:分析福建省围产儿死亡的基本情况及相关因素,探讨并制定有针对性的预防措施。方法:收集2010年2 748例福建省围产儿死亡病例的资料进行回顾性分析。结果:福建省围产儿死亡率为7.68‰,死产、新生儿死亡所占的构成比分别为71.11%、23.65%。围产儿死亡以农村居多,23.58%的死亡病例存在孕期异常情况,产检次数在3次以下者占41.74%。畸形、早产、宫内窘迫、窒息、脐带缠绕是围产儿死亡的主要死因。结论:提倡优生,加大围产期保健宣传的力度和广度,增强孕妇保健意识,完善农村地区孕产妇管理,加强孕期保健及产程监护,提高住院分娩率,是降低围产儿死亡的重要措施。
Objective: To analyze the basic situation and related factors of perinatal death in Fujian Province, and to explore and formulate targeted preventive measures. Methods: Data of 2 748 cases of perinatal deaths in Fujian Province in 2010 were retrospectively analyzed. Results: The perinatal mortality rate in Fujian Province was 7.68 ‰. The proportions of stillbirths and neonatal deaths were 71.11% and 23.65% respectively. Perinatal deaths were mostly in rural areas, 23.58% of the deaths were abnormal during pregnancy, and 41.74% were those whose births were less than 3 times. Deformity, premature labor, intrauterine distress, asphyxia, umbilical cord entanglement are the leading causes of death in perinatal children. Conclusion: It is an important measure to promote eugenics, increase the strength and breadth of perinatal health care publicity, enhance pregnant women’s awareness of health care, improve the management of pregnant women in rural areas, strengthen the care during pregnancy and labor and improve hospital delivery rate.