42例孕晚期死胎原因分析

Analysis on the Causes of Stillbirth in 42 Cases During the Third Trimester of Pregnancy

目的对孕晚期死胎的原因进行分析,讨论防治措施,降低死胎发生率,减少纠纷。方法分析本院于2016年1月—2018年12月收治的42例孕晚期死胎的病例资料。结果此组资料死胎原因主要有妊娠合并症及并发症、脐带因素、胎儿因素及不明原因等。结论医务人员需做好对高危妊娠的识别及管理,同时加强对高危人群的宣教,使其认识到孕期定期产检和自我监测的重要性。孕期加强胎心监护及超声诊断可减少可避免死胎的发生。对于如脐带因素及胎儿畸形所致的不可避免的死胎,需加强医患沟通,减少纠纷。

Objective To analyze the causes of stillbirths during the third trimester of pregnancy so as to improve the preventive measures to reduce the fetal death rate.Methods From January 2016 to December 2018,The data of 42 patients with stillbirths during the third trimester of pregnancy in Maternal and Child Health Hospital of HuBei Provincewere analyzed retrospectively.Results The causes of stillbirths included pregnancy complications,cord factors,fetal factors and no abnormality detective in diagnosis.Conclusion Recognize and manage the high risk pregnant women accurately,and Should strengthen the education of high-risk groups for keeping regular prenatal care and enhancing the self-monitoring.Fetal heart rate monitoring and Ultrasonic examination during pregnancy can reduce the rate of the avoid stillbirths.For the groups of the inevitable stillbirths,we should pay attention to the communication of the patients and reduce the medical disputes.