无锡市2006-2011年围产儿出生情况分析

Analysis of Wuxi city 2006-2011 perinatal birth

目的：了解我市6年来围产儿出生情况，包括剖宫产率、性别比、出生缺陷及围产儿死亡情况，探讨干预措施。方法：汇总、分析妇幼保健三级网络上报的相关统计报表和个案卡。结果：2006～2011年无锡市剖宫产率呈逐年上升趋势，城区大于农村；出生性别比超出正常范围，男性出生一直处于较高状态；出生缺陷发生率及围产儿死亡率成逐年下降趋势。结论：应针对剖宫产率升高的各种原因采取相应措施，进一步降低剖宫产率；必须加大有关文件的执行力度，改善出生性别比超出正常范围的状况；采取各种有效措施，尤其要加强流动人口管理，进一步降低出生缺陷发生率及围产儿死亡率，提高出生人口素质。

Objective To investigate the rate of uterine incision delivery,sex ratio,birth defects and mortality of perinatal fetus over the last six years in Wuxi city. Furthermore intervention study was approached. Methods Correlated statistics report forms and individual case cards from three stage network of Maternal and Child Health were collected and analyzed. Results The rate of uterine-incision delivery has been rising from 2006 to 2011 ,which was higher in city than that in countryside. The sex ratio exceeded normal limits,in which male was high. However, the rate of birth defects and mortality have been de scending. Conclusions We should adopt intervention study on decrease the rate of uterine-incision delivery and execute relevant documents more effectively to improve the condition of sex ratio. We also should take various kinds of measures, especially manage nomadic population to reduce birth defects and mortality, therefore,we can raise population quality.