76例胎儿宫内死亡原因分析

Analysis on 76 Cases Intrauterine Fetal Death Cause

目的探讨宫内死胎发生的原因,寻找有效的干预对策,降低围产儿死亡率。方法对我院2006年1月—2009年12月收治的76例孕满28周的胎儿宫内死亡病例的死胎原因及相关因素进行回顾性分析。结果胎儿宫内死亡原因分类依次为妊娠合并症24例,占31.58%;脐带因素20例,占26.32%;胎盘因素17例,占22.37%;胎儿因素15例,占19.74%。胎儿畸形是宫内死胎的主要致死原因。结论加强产前保健、监护和高危妊娠管理,积极防治妊娠期合并症、并发症,正确估计胎儿成熟,适时终止妊娠,是减少胎儿宫内死亡发生率和围产儿死亡率的有效措施。

OBJECTIVE Discusses reason which in the palace the stillbirth occurs,seeks for the effective intervention countermeasure,reduces encircles the product mortality rate.METHODS 76 examples which in January 2006 December 2009 admits to my courtyard are pregnant the full 28 weeks,in the embryo palace the cause of death and the correlation factor carry on the review analysis.RESULTS In the embryo palace the cause of death classification is the pregnancy complications 24 examples in turn,accounts for 31.58%;The umbilical cord factor 20 examples,account for 26.32%.The placenta factor 17 examples,account for 22.37%.The embryo factor 15 examples,accounts for 19.74%.The fetal anomaly is in the palace the stillbirth main cause of death.The pregnancy complications,the complication increase the placenta pathology change to send the stillbirth obviously.CONCLUSION Strengthens the antenatal care/antepartum care,the guardianship and the high-risk pregnancy management,prevents and controls the gestational complications,the complication positively,the correct appraisal embryo is mature,at the right moment terminates the pregnancy,is reduces in the embryo palace to die the formation rate and encircles the product mortality rate the effective action.