目的:探讨宜兴市宜城镇2000～2008年围产儿死亡率及死亡原因,强调围产期保健的重点及作用,为进一步减少围产儿死亡提供对策。方法:对宜兴市宜城镇2000～2008年围产儿死亡资料进行回顾性分析。结果:9年来宜兴市宜城镇围产儿死亡率总体呈下降趋势,围产儿死亡原因前3位依次为:畸形(32.98%)、早产(14.89%)及脐带因素(12.77%)。其中畸形儿包括检查中发现的胎儿畸形,治疗性引产19例,未发现畸形出生后新生儿死亡12例。结论:降低围产儿死亡率的关键在于提高孕期畸形儿检出率。为提高围产期保健质量,应积极治疗各种妊娠并发症,同时加强产前诊断、产时监护及新生儿监护。 Objective: To investigate the perinatal mortality and causes of death in Yicheng City, Yicheng City from 2000 to 2008, emphasize the key point and role of perinatal care, and provide countermeasures for further reducing perinatal death. Methods: The data of perinatal death in Yicheng City from 2000 to 2008 were analyzed retrospectively. Results: The perinatal mortality rate of Yicheng City in Yixing City showed a downward trend in the past 9 years. The top three causes of perinatal death were deformity (32.98%), premature birth (14.89%) and umbilical cord factors (12.77%). Including deformities, including fetuses found in the examination of fetal malformations, the treatment of induced abortion in 19 cases, no newborn after deformity was found in 12 cases of death. Conclusion: The key to reduce perinatal mortality is to increase the detection rate of malformations during pregnancy. To improve the quality of perinatal care, should actively treat a variety of complications of pregnancy, while strengthening the prenatal diagnosis, childbirth monitoring and neonatal care.