重庆市2007年度围产儿死亡医院监测结果分析

Analysis of perinatal mortality based on hospital monitoring in 2007 in Chongqing

目的探讨重庆市围产儿死亡的主要原因及干预措施。方法按照《重庆市围产儿死亡监测方案》,采用以医院为基础的监测方法,收集监测单位围产儿死亡相关资料。结果2007年度重庆市围产儿死亡率11.38‰,乡村高于城镇,出生缺陷、早产或低体重、出生窒息是围产儿和早期新生儿死亡的主要死因。结论积极开展和做好出生缺陷的一、二级预防工作,减少致残、致死性出生缺陷的孕育;加大健康教育力度,提高孕产妇的自我监护能力与保健意识,使孕妇能自觉定期进行孕期保健;加强医疗保健机构的产科和新生儿科的服务能力等,是降低围产儿和早期新生儿死亡率的重要措施。

Objectives To analyze the causes of perinatal death and to propose protective measures in Chongqing. Methods According to the Monitoring Programme on Perinatal Death in Chongqing, the data on perinatal death from monitoring units were collected through the monitoring methods based on hospital. Results The perinatal mortality was 11.38‰ in Chongqing in 2007. The perinatal mortality in rural villagewas higher than that in town. The main causes of perinatal and early neonatal death were birth defect,premature infant,low birth weight infant and neonatal asphyxia. Conclusion Launching actively grade Ⅰ and grade Ⅱ prevention from birth defect,reducing the number of pregnancy with disabled or fatal birth defect, improving the ability of pregnant women to self-care and the awareness of maternal health care for receiving prenatal care services consciously and improving the ability to provide services in obstetric and newborn branch of the medical and health organizations are the important measures to reduce the perinatal and early neonatal mortality.