围生儿死亡74例原因分析

目的分析围产儿死亡原因及其相关因素，提出加强孕期保健降低围产儿死亡的干预措施。方法对2001～2006年分娩的74例围产儿死亡临床资料进行回顾性分析。结果2001—2006年共分娩围产儿8203例，死亡74例，死亡率9．02‰，其中死胎41例（占55．41％）；死产3例（占4．05％）；畸形引产17例（占22．97％）；早期新生儿死亡13例（占17．57％）。围产儿死亡原因顺位为胎儿畸形、母体因素、脐带因素和胎盘因素。影响围产儿死亡的相关因素有：孕产妇的文化素质、孕期接受围生期保健次数和医疗保健人员的技术水平。结论①加强孕产期保健知识的宣传，提高孕产妇文化素质及自我保健意识，自觉接受围生期保健；②开展优生优育咨询，提高孕期监测质量和宫内诊断技术，减少孕足28周畸形儿的治疗性引产数；③提高医疗保健人员诊疗技术水平，加强高危孕产妇的管理和严格遵守高危妊娠转诊制度可以有效降低围产儿死亡率。

Analysis of death causes of 74 perinatal babies

Objective Analysis the cause of infant mortality and the correlation factor,put forward the intervention study to reinforce the antenatal care and then reduce the rate of infant mortality. Methods Retrospective analysis the clinical data of the infant mortality 74 cases from 2001-2006. Results From 2001-2006, there were 8 203 infants born,74 infants dead. The death rate is 9.02%o. This includes fetal death 41 cases （55.41%） ;stillbirth 3 cases（4.05% ） ; malformed induction 17 cases（22. 97% ） ; newborn death 13 cases （17.57%）. The cause of infant mortality during pregnancy is fetal malformation,matrix factor,umbillcal cord factor, placental factor. The correlation factor of infant mortality during pregnancy is cultural qualities of pregnant and lying-in women,times of prenatal examination,technical level of medical workers. Conclusion 1. Pregnant and prenatal care should be improved; it is also necessary to conduct health education among pregnant and prenatal, with a view to improve their sense of health and the ability of self-health care. 2. Knowledge on bearing and rearing better children should be publicized, improve the quality of monitoring during pregnancy and the diagnostic technique in the uterus,in order to reduce the induction of labor for therapeutic after the 28th week of pregnancy. 3. Improved diagnosis and treatment technique of the medical care staff; tighten high risk pregnancy control,it can cut doun the infant mortality rate.