永康市近5年围产儿死亡监测分析

Monitoring and analysis on perinatal mortality in Yongkang City in the past 5 years

[目的]分析浙江省永康市围产儿死亡发生情况,为制定孕产妇保健管理模式提供依据。[方法]对永康市2006年10月—2011年9月围产儿死亡病例及评审资料进行回顾性分析。[结果]2007—2011年,流动人口围产儿死亡率逐年下降。5年中流动人口围产儿死亡率为21.97‰,本地人口围产儿死亡率为6.78‰,流动人口围产儿死亡率远高于本地人口(P<0.01)。流动人口因胎儿因素、原因不明、母亲因素、胎盘因素而发生的围产儿死亡比例均高于本地人口(P<0.05);流动人口孕母孕期保健服务接受率远低于本地人口(P<0.01)。[结论]尽管5年来流动人口围产儿死亡有明显下降,但仍远高于本地人口。流动人口保健覆盖率低,应制定相应措施,加强流动人口孕期保健管理和健康宣教,提高流动人口的保健意识,向贫困流动人口提供基本的免费孕期保健服务,以降低流动人口围产儿死亡率。

[ Objective ] To ascertain perinatal mortality in establishment of maternal health management system. [ Methods ] Yongkang City and provide a basis for A retrospective study was made to an- alyze the perinatal mortality rate in 2006.10 - 2011.9 in Yongkang City, and the clinical data were statisti- cally analyzed between the local and migrant populations. [ Results] In 2007 - 2011, the perinatal mor- tality rate of migration was decreasing year by year. But the average perinatal mortality rate in 2007 - 2011 in Yongkang City was 21.97%o for migration and 6.78%0 for local population. The perinatal mortality rate in migrant population was significantly higher than that in the local population （ P 〈 0.01 }. Because of fetus factor, undefined disease, mother factor or placenta factor, the perinatal death rate was much higher in migrant population than in local population （ P 〈 0.05 ）. The perinatal healthcare service quality in migrant population was significantly lower than in local population （ P 〈 0.01 }. [ Conclusion ] Although the perinatal mortality in migrant population showed an obvious decline in the past 5 years, it was still significantly higher than that in the local population. The coverage rate of systematic perinatal healthcare was low in migrant population. It is necessary to take measures to strengthen the management of perinatal healthcare for migrant population and strengthen health education to improve self protection. It is also necessary to freely provide basic perinatal healthcare service for destitute migration and decrease the perinatal mortality in migrant population.