57例死胎临床分析及预防措施

57 Cases of Fetal Death Clinical Analysis and Preventive Measures

目的归纳分析死胎的病因，探讨预防措施，减少死胎的发生率。方法回顾性分析2000年1月-2011年12月我院收治的57例死胎病例，归纳死胎的原因。结果死胎病因依次为母体因素54．39％（31例）、脐带因素占193％（11例）、胎盘因素占7．02％（4例）、胎儿因素占7．02％（4例），其他为不明因素占12．28％（7例）。结论加强孕期保健健康宣传，增加孕妇自身保健意识，学会自数胎动，定期产检。提高医务人员高危妊娠筛查、诊断及治疗技术，加强高危妊娠管理，积极治疗妊娠合并症及并发症，适时终止妊娠，减少死胎的发生。

Objective To inductive and analysis of the causes of fetal death, explore preventive measures, reduce the incidence of fetal death. Methods： A retrospective analysis was carried out in of 57 case of fetal death from Jan.2000 to Del 2011 in our hospital . Results The cause of fetal death included maternal factor 54.39% （31 cases）, cord factors 19.3% （11 eases）, placental factors 7.02% （4 cases）, fetal factors 7.02%（4 cases）, other unknown 12.28 % （7 cases）. Conclusion It is suggeseed to enhance health education during pregnancy, increase their health awareness , count the number of fetal movement, stick to pregnatal care consciously. Improve screening, diagnosis and treatment of medical personnel in high-risk pregnancy technologies, strengthen the management of high-risk pregnancy, active treatment pregnancy complications, timely termination of pregnancy, reduce fetal death.