207例围产儿死亡病例分析

目的:了解围产儿死亡相关因素,降低围产儿病死率。方法:回顾2001年8月～2003年6月间围产儿死亡病例207例,进行死亡原因分析。结果:围产儿病死率为3.09%,死胎、死产、新生儿死亡构成分别为35.75%、26.09%、38.16%。早产、胎儿畸形、妊娠高血压综合征是围产儿死亡的主要因素。35岁以下孕妇新生儿死亡占首位,35岁以上孕妇以宫内死胎为主。结论:加强孕期监护及自我保健意识,提高产前诊断技术,有效治疗妊娠并发症,以及提高新生儿抢救水平,是降低围产儿病死率,提高生存质量的有效措施。

Analysis on death of 207 perinatal fetal in Tianjin centre gynecology and obstetrics hospital

Objective:To investigate and evaluate the causes of perinatal fetal death,to reduce the perinatal morbidity.Methods:By reviewing 207 cases of patient’s medical records with perinatal fetal death during 2001.8~2003.6,we made statistical analysis the related factors of perinatal fetal death.Results:The perinatal morbidity was 3.01%,the fetal death was 35.75%,the stillbirth was 26.09%,the neonatal death was 38.16%.The important cause of perinatal death were preterm labour,fetal malformation and pregnancy-induced hypertension syndrome(PIH).It was mainly neonatal death in patients with more than 35 years old,and fetal death,the younger.Conclusion:The primary procedure of reducing the perinatal morbidity and exalting existence quality includes enhancing the surveillant quality and prenatal period diagnosis and treating the gravidic complication.