67例死胎临床分析

A clinical analysis of 67 cases of fetal death

目的分析近10年67例死胎发生原因的改变,探讨预防处理措施,减少死胎发生。方法回顾性分析2003年1月至2012年12月我院收治的67例死胎病例,总计发生死胎的原因。结果发生死胎67例,死胎发生率为0.68%,其中经产妇、农村产妇、年龄≥30岁产妇、流动人口产妇所占比例分别为39例(58.20%)、34例(50.75%)、39例(58.20%)、30例(44.78%);死胎原因中妊娠合并症及并发症居首位,45例,占67.16%;脐带因素27例,占40.30%;羊水因素18例,占26.87%;不明原因8例,占11.94%,其中24例患者有2种以上死胎原因,占35.82%。结论加强特殊人群的妊娠管理,重视妊娠合并两种以上高危因素的孕产妇,加强其自数胎动的重要性,可以避免及创造条件可以避免绝大部分死胎发生。

Objective To analyze the changes in the causes of the 67 cases of fetal death which occurred in recent 10 years, and to ex- plore effective prevention measures, in an effort to reduce cases of fetal death. Methods Retrospective analysis was made of 67 cases of fetal death treated in the writer＇s hospital from Januay,2003 to December, 2012, aiming at exploring the causes of occurrences of fetal death statistically. Results There were 67 cases of stillbirth（0.68% ） ,among which there were 39 cases（58.20% ） of multipara,34 ca- ses（ 50.75% ） of rural women ,39 cases（ 58.20% ） of women older than 30,30 cases（44.78% ） of migrating women; Pregnancy complica- tions and causes of stillbirth complications were in the first place,45 cases, accounting for 67.16% followed by umbilical cord factor 27 cases （40.30%）amniotic fluid factors 18 cases （26.87%）and unknown reasons 8 cased（ 11.94% ）, of which 24 patients （35.82%）had more than two kinds of stillbirth causes. Conclusion Strengthening pregnancy management of specific population paying attention to pregnancy with two or more risk factors, focusing on fetal irritability change, can avoid most fetal deaths.