13年间围产儿死亡原因及变化趋势分析

Analysis on death causes and changes trends in perinatal infants during 13 years

目的:探讨围产儿死亡的相关因素,为制定有针对性的预防措施,有效降低围产儿死亡率提供依据。方法:对1995～2007年间深圳市盐田区各医疗单位上报的围产儿死亡报告卡、年终报表活产数及补漏情况进行分析。结果:13年间围产儿死亡率为10.3‰,2007年围产儿死亡率降到6‰以下。13年间围产儿死亡前3位为:出生缺陷、新生儿疾病、胎儿因素,近7年出生缺陷是围产儿死亡第1位原因。结论:做好出生缺陷"三级预防",提高孕期保健意识,加强新生儿护理,是降低围产儿死亡的重要举措。

Objective： To explore the effect factors of perinatal mortality, form a pertinent prevention and provide significant evidences for reducing perinatal mortality. Methods： The investigation was based on death statements, annual reports and their supplements from all of medical institutions of perinatal infants in Yantian district of Shenzhen from 1995 to 2007. Results： The perinatal mortality was 10. 3‰ during past 13 years, the perinatal mortality reduced under 6‰ in 2007. The top three effect factors of perinatal mortality were： birth disfigurement, neonatal diseases and embryo factor. Birth disfigurement took the top place of that cause perinatals＇deaths for last seven years. Conclusion： Preparing the ＂ tertiary prevention＂ of birth disfigurement, improving the health education in gestation period and enhancing the neonatal nursing are the three most important methods for reducing perinatal mortality.