流动人口的围产保健现状

Actuality of perinatal healthcare in floating population

目的:了解流动人口的围产保健现状。方法:对2001～2002年发生的围产儿死亡及院外分娩的产后出血产妇进行回顾性分析。结果:两年共分娩围产儿2116例,死亡52例;本地分娩围产儿死亡率为8. 2‰,流动人口围产儿死亡率为28‰,两者有显著差异。流动人口围产儿死亡中,85. 71%未行系统产前检查;13例院外分娩的产后出血产妇均为流动人口。流动人口中不可避免的围产儿死亡率为8 .57‰,与北京市的平均水平相近;而到医院分娩可以避免大多数的产后出血。结论:流动人口的围产儿死亡率和致命性的产后出血率明显高于北京市的平均水平,主要原因是缺乏围产期保健和临产后未到医院分娩。

Objective:To investigate the actuality of perinatal healthcare in floating population.Methods:The perinatal dead and postpartum hemorrhage of women's delivery out of hospital from 2001 to 2002 were retrospectively analyzed.Results:Of 2 116 cases of labors in 2 years, there were 52 dead ones; there was significant difference in perinatal mortality between local population (8.2‰) and floating population (28‰). Of perinatal dead cases in floating population, 85.71% did not accept systemic antenatal examination. 13 cases with postpartum hemorrhage delivery out of hospital all were floating population. The inevitable peinatal mortality in floating population was 8.57‰ and similar to that of Beijing. The most of pregnant women in hospital could avoid postpartum hemorrhage.Conclusion:The perinatal mortality and postpartum hemorrhage rate in floating popultation were obviously higher than the average levels in Beijing, for which was lack of perinatal healthcare and delivery out of hospital.