上海市2003—2008年流动人口围产儿死亡情况分析

Analysis on perinatal mortality rate of migration in 2003—2008 in Shanghai.

【目的】研究上海市流动人口围产儿死亡状况,为制定干预措施提供依据。【方法】对2003—2008年上海市围产儿死亡情况进行回顾性分析。【结果】 1)2003—2008年上海市流动人口6年平均围产儿死亡率为8.46‰,本市户籍6年平均围产儿死亡率为3.18‰,流动人口围产儿死亡率明显高于本市户籍人口(P<0.01);2)2003—2008年流动人口围产儿死亡率呈下降趋势,且下降幅度较大,尤其是2004—2005年下降幅度最大。而本市户籍人口围产儿死亡率总体虽呈下降趋势,但有一定波动性,2006年较上一年略有上升;3)2003—2008年全市围产儿死亡原因排在前六位的有:原因不明、严重畸形、早产儿、宫内窘迫、脐带因素、胎盘早剥;4)流动人口2006—2008年Ⅰ类(可能避免)死亡所占比例有所增加,而本市户籍Ⅰ类(可能避免)死亡所占比例明显减少。【结论】流动人口围产儿死亡率下降空间大,要重视流动人口围产儿死亡率的干预。

【Objective】 To study the condition of perinatal mortality rate（PMR） of migration in Shanghai so as to provide the scientific basis for further reducing perinatal mortality rate. 【Method】 A retrospective study was used to analyze the perinatal mortality rate in 2003—2008 in Shanghai. 【Results】 1）The average perinatal mortality rate in 2003—2008 in Shanghai was 8.46‰ for migration and 3.18‰ for local residents.And the PMR of migration was significantly higher than that of the local residents.2）In 2003—2008,the perinatal mortality rate of migration was decreasing sharply,especially in 2004—2005.Though the general trend of perinatal mortality rate of local residents was declining in 2003—2008,the PMR of 2006 were higher than that of the previous year.3）The main causes of perinatal death in 2003—2008 in Shanghai was undefined diseases、 congenital defects,premature delivery,fetal distress,umbilical cord abnormality,placental abruption.4）In 2006—2008,the proportion of the type Ⅰ perinatal death was increasing in migration and decreasing in local residents. 【Conclusion】 The further reduce of perinatal mortality rate in Shanghai depends on the management for migration.