2012年南京市浦口区产儿死亡原因分析及预防策略

Analysis of Causes and Prevention Strategies of Perinatal Death in Pukou District of Nanjing City in 2012

目的探讨南京市浦口区围产儿死亡原因,并提出针对性的预防指导策略。方法选取我区2012年1月至6月分娩的2 401例病例为研究对象,其中围产儿死亡13例,按照监测方案及时填报死亡报告卡,分析围产儿死亡的主要原因。结果我区分娩总人数为2 401例,围产儿死亡13例,围产儿死亡率为0.54%。脐带绕颈、羊水因素及胎盘前置对新生儿死亡的影响较大。其中,死胎占围产儿死亡总构成比的61.53%。结论围产儿死亡是由多因素引起的,孕期保健应加强对产妇进行健康教育,高度关注危险因素,积极预防并发症,以减少围产儿死亡率。

Objective To discuss the reasons for perinatal death in Pukou District of Nanjing city, and put forward corresponding preventive strategy. Methods 2 401 cases in Pukou District of Nanjing city from 2012 January to June were chosen as the research object, with 16 cases of perinatal death. According to the monitoring plan and timely written death report card, the main causes of peri-natal death were analyzed. Results The total perinatal mortality rate was 0. 54% （13/2 401）. Umbilical cord around the neck, am-niotic fluid factors and placenta previa were the leading causes of death. Among them, early neonatal deaths accounted for the total 61. 53% of perinatal deaths. Conclusion The perinatal mortality is caused by many factors. Thus prenatal care should be strength-ened, more health education for pregnant women should be carried out, and more attention should be paid to the risk factors, so that the complications can be prevented, and the perinatal mortality rate can be reduced.