394例围生儿死亡原因的现状分析

Retrospective analysis of perinatal death in our hospital in this ten years

目的:分析及探讨近10年来我院围生儿死亡原因的分类现状,以提高围生保健工作质量,降低围生儿死亡率。方法:按照我国围生期分类标准,对我院10年间394例围生儿死亡病历进行统计分析。结果:10年间我院围生儿死亡率为2.28%,死胎占55.33%,死产占8.38%,新生儿死亡占36.29%。早产、畸形、脐带、胎盘因素是造成我院围生儿死亡的主要原因。结论:加强孕期监护,产前筛查,预防早产,防止并发症发生,是降低围生儿死亡的主要措施。

Objectives： To investigate and evaluate the causes of perinatal death, to improve the quality of perinatal care and reduce the perinatal morbidity. Methods： According to the standard of Perinatal Stage, we reviewed and made statistical analysis on 394 cases of inpatient medical records with perinatal death, who admitted in this hospital in this ten years. Results： During the ten years in our hospital, the perinatal morbidity was 2.28%, in which, the fetal death was 55.33%, the stillbirth was 8. 38%, and the neonatal death was 36. 29%. The leading complications and causes of perinatal death were preterm labor, fetal malformation, and the factor of umbilical cord or placenta. Conclusions： To enhanee the surveillant quality during the pregnant period, prenatal sereening, avoid the preterm labor, and prevent the gravidic complications are primary procedures to reduce the perinatal morbidity.