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目的分析及探讨围生儿死亡原因,以提高围生保健的工作质量,制定干预措施,降低围生儿死亡率。方法对我院1998-2003年7677例围生儿中死亡的90例进行回顾分析。结果围生儿死亡率是11.72‰,死胎占53.33%,死产占27.78%,新生儿死亡占18.89%。导致围生儿死亡的主要因素为:先天畸形(占37.78%)、早产出生低体重(占14.44%)、脐带因素(占12.22%)。结论加强孕期监护,特别是高危妊娠监护,预防早产,提高产前监测手段,孕28周前常规做一次B超检查,做到早发现,早处理,减少先天畸形儿出生,是降低围生儿死亡率的主要措施。
Objective To analyze and discuss the causes of perinatal death in order to improve the quality of perinatal care and make interventions to reduce perinatal mortality. Methods A retrospective analysis of 90 cases of 7677 perinatal deaths in our hospital from 1998 to 2003 was conducted. Results Perinatal mortality was 11.72 ‰, 53.33% of stillbirths, 27.78% of stillbirths, and 18.89% of neonatal deaths. The main causes of perinatal death were: congenital malformations (37.78%), low birth weight preterm births (14.44%) and umbilical cord factors (12.22%). Conclusion Strengthen the monitoring of pregnancy, especially high-risk pregnancy monitoring, prevention of premature birth, improve the means of prenatal monitoring, 28 weeks before pregnancy to do a routine B-ultrasound, so early detection and early treatment to reduce the birth of congenital malformations is to reduce perinatal The main measure of mortality.