2007-2016年浙江省温州市围产儿死亡监测分析

Surveillance for perinatal death in Wenzhou, 2007-2016

目的了解浙江省温州市围产儿死亡发生情况,分析死亡原因,提出有效应对措施。方法按照浙江省围产儿死亡监测方案,由产科医师或新生儿科医师填写围产儿死亡个案表,分娩机构按月填报《监测医院分娩情况季报表》,对2007—2016年的数据资料汇总后进行统计分析。结果 10年间围产儿死亡率总体呈下降趋势(趋势χ~2=201.174,P=0.000);除了2008年外,流动人口围产儿死亡率明显高于本地户籍人口(P<0.05);出生缺陷、死因不详、早产、新生儿窒息及妊娠高血压疾病分别位居围产儿死亡前5位。结论 2007—2016年温州市围产儿死亡率总体呈下降趋势,出生缺陷位居围产儿死因首位,早产是早期新生儿死亡最主要的死因。应加强出生缺陷防控,减少出生缺陷引起的围产儿死亡;完善孕产期保健管理,避免妊娠合并症、早产等发生。

Objective To understand the incidence of perinatal death and causes in Wenzhou of Zhejiang province and suggest effective response measure.Methods The incidence data of perinatal death in Wenzhou from 2007 to 2016 were analyzed,which were reported by hospitals monthly according to the surveillance protocol of perinatal death in Zhejiang.Results In the past 10 years,the perinatal mortality rate showed a decline trend(treadχ^2=201.174,P=0.000).Except for2008,the perinatal mortality rate in floating population was significantly higher than that in local population(P<0.05).The top five causes of perinatal death were birth defect,unknown causes,premature birth,neonatal asphyxia and gestational hypertension.Conclusion The overall perinatal mortality rate showed a decline trend in Wenzhou during 2007-2016.The first cause of perinatal death was birth defect and premature birth was the major cause of perinatal death.It is necessary to strengthen the prevention and control of birth defect to reduce perinatal death and improve perinatal care to reduce pregnancy complication and premature birth.