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为了解昆明市围产儿死亡状况、主要死亡原因及相关因素 ,作者对昆明市 1998年712例围产儿死亡监测资料进行分析。结果显示 :在围产儿死亡中早期新生儿死亡为首位 ,占6 1 10 % ;其次为死产 ,占 2 2 75% ;死胎占 16 15%。并对围产儿死亡的相关因素进行了分析。分析结果表明 :围产儿死亡与社会因素、围产期保健工作及产科服务质量、急救能力有关。通过分析提示围产保健工作重点在农村 ,加强围产保健工作质量 ,提高住院分娩率 ,增强其急救能力 ,降低高危围产儿的发生率并提高其成活率 ,才能有效地降低围产儿死亡率。
In order to understand the status of perinatal death, the main causes of death and related factors in Kunming, the author analyzed 712 cases of perinatal deaths in Kunming City in 1998. The results showed that in the perinatal death in the early neonatal deaths as the first place, accounting for 6 1 10%; followed by stillbirth, accounting for 2 2 75%; stillbirth accounted for 16 15%. And related factors of perinatal death were analyzed. The results showed that perinatal death was related to social factors, perinatal care, quality of obstetric services and first aid. We can effectively reduce perinatal mortality by analyzing the tips of perinatal health care in rural areas, strengthening the quality of perinatal care, improving hospital delivery rate, enhancing emergency care capacity, reducing the incidence of perinatal high-risk infants and increasing their survival rate.