北京市密云县2005-2007年围产儿死亡情况分析

Analysis of Perinatal Mortality Between 2005 and 2007 in Miyun County

目的分析三年围产儿死亡情况,探讨影响密云县围产儿死亡的主要原因,为干预措施的提出提供依据。方法采用回顾性调查的方法,对2005-2007年所有围产儿病例进行调查分析。结果三年来围产儿死亡率,死胎占第一位,早期新生儿死亡占第二位,死产占第三位。导致围产儿死亡的主要原因为畸形、早产。结论降低围产儿死亡率必须采取综合干预措施,加强孕期保健知识宣传,提高人群的健康意识;加强和完善社会医疗保障体系,提高围产期保健质量;提高产前筛查和产前诊断水平,杜绝严重缺陷儿出生;此外,定期产检,高危妊娠监测,预防早产,产、儿科配合,提高窒息复苏成功率也是降低围产儿死亡的有效措施。

Objective To analyze the situation of perinatal death during a threeyear period, to explore the main cause of perinatal death in Miyun County and to provide some reference for making interventions. Method All the cases of perinatal death from 2005 to 2007 were analyzed retrospectively. Results The fetal death ranked the top of the perinatal morbidity during a three- year period, followed by early neonatal death and stillbirth. The main causes of the neonate death were malformation and premature delivery. Conclusions For reducing the perinatal mortality, it is necessary to take comprehensive intervention measures, strengthen propaganda of health knowledge during pregnancy, enhance people＇s health awareness, reinforce and perfect social medical insurance system, improve the quality of perinatal health care, raise the veracity of prenatal screening and prenatal diagnosis, and put an end to the incidence of severe birth defect. Furthermore, regular pre- natal examination, high- risk pregnancy monitoring, prevention of premature delivery, coordination management and treatment of obstetricians and pediatricians, and imProvement of success rate of asphyxiated resuscitation are the effective measures in declining the incidence of perinatal death.