149例围产儿死亡原因分析

Analysis of the causes of death in 149 cases of infant of perinatal period

目的通过对我院2005～2009年间围产儿死亡原因和死亡构成比的分析,为制定有效的干预措施提供科学依据,从而提高围产保健质量,进一步降低围产儿死亡率。方法对我院2005～2009年围产儿死亡原因进行回顾性分析。结果 5年间我院住院分娩围产儿数18 581例,围产儿死亡数149例,围产儿死亡率平均为8.26‰,呈逐年下降的趋势。其中,本市户籍围产儿死亡占死亡率的8.75%,非本市户籍占91.25%。导致围产儿死亡的主要原因有胎儿因素、出生缺陷、脐带胎盘因素、母体因素、原因不明及其他。结论加强对围产儿保健者的培训,28周前发现畸形、预防早产、治疗妊娠合并症、加强监护有助于减少围产儿死亡的发生。

Objective：To provide a scientific basis for effective interventions by analysis of the constituent ratio of perinatal death and the cause of perinatal death,so as to improve the quality of perinatal care and reduce the perinatal morbidity furtherly.Methods：Retrospective analysis of the causes of perinatal death in our hospital during 2005 to 2009.Results ： Out of a total of 18 581 deliveries in 2005 to 2009 in our hospital,149 cases met perinatal mortality and the perinatal death rate was 8.26 ‰,which indicated a declining trend.Among them,the perinatal deaths of the city residence accounted for 8.75%,and the non-city residence accounting for 91.25%;The causes of perinatal mortality was mainly due to infant factors,birth defects,umbilical cord placental factors,maternal factors and so on.Conclusion： It′s a effective way to reveale fetal deformity before 28 weeks pregnant,prevent premature birth,treat pregnancy complications,strengthen supervision by strengthening the training of perinatal carer,so as to reduce perinatal death.