上海闵行区围产儿死亡的母亲孕期保健情况分析

The health situation analysis on the death perinatal child of the mother during pregnancy in Shanghai Minhang District

目的:通过分析近年来闵行区围产儿死亡母亲孕产期保健情况,探讨围产儿死亡的干预措施。方法:按上海市围产儿死亡报告要求对辖区内围产儿死亡进行季度评审,回顾性分析死亡个案母亲孕期保健。结果:225例围产儿死亡中本市户口14例(6.25%),非本市户籍211例(93.75%),孕期保健管理的人数明显增加,管理率明显上升,孕期产检率逐步上升,非本市户籍围产儿死亡发生率呈现下降趋势,但非本市户籍孕产妇的产前检查率及次数仍较低,围产儿死亡个案15.56%母亲存在合并症和并发症。结论:通过政府对妇幼保健管理的重视及管理模式的突破,闵行区的孕产妇管理机制不断完善,管理效果逐步体现。对降低围产儿死亡起到一定的保障作用。

Objective：To analyze the maternalperinatal health care of the women who endure the death of perinatal child in Minhang District and explore interventions to perinatal death.Methods：According to the reports on requirements of the jurisdiction of the quarterly review of perinatal death in Shanghai,made a retrospective analysis of deaths in mothers during pregnancy health.Results：225 cases of perinatal death in shanghai accounts 14 cases（6.25%）,non-local city residence 211 cases（93.75%）.The number of health management and the rategradually increased during pregnancy check-ups were significantly increased.Non-local City residence incidence of perinatal death was significantly decreased.But the maternal prenatal carerates and the number of non-local city residence were still low,15.56% of the mother had complications.Conclusion：Through the the management breakthrough of the government＇semphasis on maternal and child health in Minhang District,the maternal management mechanism has been improved,reflected gradually effective management and played a security role on perinatal mortality.