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目的:探讨围产儿死亡原因,评价围产保健工作水平,提出相应对策,以提高围产保健工作质量,降低围产儿死亡率。方法:按照北京市的统一要求,对石景山辖区各助产机构上报的2006～2010年“围产儿死亡登记卡”及妇幼保健院质控资料进行回顾性分析。结果:5年间围产儿死亡率平均为5.16‰,导致围产儿死亡的主要原因为出生缺陷、不明原因、妊娠并发症、脐带因素,同时孕妇的年龄、孕期检查次数及孕妇的知识技能对围产儿死亡率有影响。结论:加强孕前宣教与咨询,加强孕期管理,加大围产保健宣传力度和广度,提高保健意识是降低围产儿死亡的重要举措。
OBJECTIVE: To investigate the causes of perinatal death, evaluate the level of perinatal health care and put forward corresponding countermeasures to improve the quality of perinatal care and reduce the perinatal mortality rate. Methods: According to the unified requirements of Beijing, we conducted a retrospective analysis of the 2006-20010 “Perinatal Death Registration Card” and MCH control information submitted by all the midwifery institutions in Shijingshan. Results: The average perinatal mortality rate was 5.16 ‰ in 5 years. The main causes of perinatal death were birth defects, unexplained causes, pregnancy complications, umbilical cord factors, the age of pregnant women, the number of pregnancy tests and the knowledge and skills of pregnant women. The mortality rate has an impact. Conclusion: It is an important measure to strengthen perinatal education and counseling, strengthen pregnancy management, intensify the propaganda and widening of perinatal health care, and raise awareness of health care to reduce perinatal death.