围产儿死亡的相关因素及预防措施

Correlated factors and preventive measures for perinatal mortality

目的探讨围产儿死亡的相关因素,以采取相应的预防措施,降低围产儿的死亡率。方法回顾性分析2002～2006年我院108例围产儿死亡的一般情况、死因分布、孕妇受教育程度和产前检查情况。结果围产儿平均死亡率为1.09%,其中死胎占75.00%,死产占8.33%,新生儿死亡16.67%,围产儿死亡的主要因素为胎儿畸形、胎盘因素、脐带因素,围产儿死亡病例中,孕妇文化程度越低,围产儿死亡率越高,初中及以下孕妇占72.22%;超过90%的孕妇没有接受定期产检。结论提高人们的健康意识、加强和完善社会医疗保障体系、加大围产期保健宣传的力度和广度、提高围产期保健质量是降低围产儿死亡的有力措施。

Objective To investigate the correlated factors and preventive measures for perinatal death in order to reduce its mortality. Methods The data of general condition, causes for death, educational level of pregnant women and prenatal examination of 108 patients in this hospital from 2002 to 2006 were retrospectively analyzed. Results The average rate of perinatal mortality was 1.09% and the percentage of dead fetus was 75.00%, stillbirth was 8.33% and neonatal death was 16.67%. The first three main causes for perinatal death were fetal malformation, placental factors and umbilical cord factors. In those perinatal death cases, the lower the education level of pregnant women, the higher the perinatal mortality rate would be. The educational level of middle school or below middle school was 72.22%, and over 90% pregnant women had not taken regulax antepaxtum examination. Conclusion The effective measures for reducing perinatal mortality rate are improving the health of peopie, reenforcing and perfecting social medical care system, strengthening and widening perinatal health education and improving the quality of perinatal health care.