158例围产儿死亡原因分析

摘要

Objective To make related intervention measures to reduce perinatal mortality rate through analyzing causes and factors of 158 cases of perinatal mortality in Haidian Maternal and Child Health Hospital .Methods Retrospective analysis was conducted on perinatal data of 158 cases delivered and evaluated with death discussion in the hospital from April 2010 to December 2013.Results Perinatal mortality rate of the hospital was 3.24‰.The common death causes were the followings:birth defects (32.28%), umbilical cord factors (27.85%), unexplained stillbirth (9.50%), premature (8.86%), placental abruption (6.96%) and early-onset preeclampsia (5.06%).Conclusion In order to reduce perinatal mortality rate , health education for fertile and pregnant women should be strengthened so as to improve their self-care consciousness and basic perinatal care knowledge .Pregnancy management , screening and diagnosis should also be enhanced and intervention measures should be taken to reduce perinatal defects .The management of high-risk pregnant women should be strengthened to prevent and cure complications effectively .%目的：分析北京市海淀区妇幼保健院158例围产儿死亡原因及相关因素，制订相应的干预措施，降低围产儿死亡率。方法对2010年4月至2013年12月于北京市海淀区妇幼保健院分娩并经死亡评审讨论的158例围产儿资料进行回顾性分析。结果围产儿死亡率为3．24‰。常见死亡原因依次为出生缺陷（32．28％）、脐带因素（27．85％）、不明原因死胎（9．50％）、早产（8．86％）、胎盘早剥（6．96％）、早发型子痫前期（5．06％）。结论要降低围产儿死亡率，必须加强健康教育，提高孕产妇孕前以及孕期保健意识；严格孕期管理，加强产前筛查与诊断，采取干预措施，降低围产儿出生缺陷的发生；加强高危孕妇管理，积极有效防治妊娠并发症和合并症。