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目的:分析围产儿死亡原因,提高围产保健工作质量,降低围产儿死亡率。方法:按围产期标准,对2000年1月~2007年12月的86例死亡围产儿进行统计分析。结果:围产儿死亡率为9.82‰。其中新生儿死亡占25.58%,死胎占58.14%,死产占16.28%。新生儿死亡中先天畸形占40.91%,为新生儿死因之首;死胎中胎盘脐带因素占30.00%,为死胎主要原因;死产中早产较低体重儿占26.67%。结论:提高并充分利用产前诊断技术,加强孕期监护,做好孕期宣教,预防早产,防止并发症发生,是降低围产儿死亡率的主要措施。
OBJECTIVE: To analyze the causes of perinatal death, improve the quality of perinatal care and reduce the perinatal mortality rate. Methods: According to the standard of perinatal period, 86 cases of perinatal deaths were analyzed statistically from January 2000 to December 2007. Results: The perinatal mortality rate was 9.82 ‰. Among them, neonatal deaths accounted for 25.58%, stillbirths 58.14% and stillbirths 16.28%. Neonatal death congenital malformations accounted for 40.91%, as the first cause of death of newborns; stillbirth placenta umbilical cord factors accounted for 30.00%, the main reason for stillbirth; stillbirths accounted for 26.67% of preterm low birth weight children. Conclusion: To improve and make full use of prenatal diagnosis, to strengthen the guardianship during pregnancy, to carry out prenatal education, prevent premature birth and prevent complications is to reduce the perinatal mortality rate of the main measures.