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[目的]分析浙江省永康市围产儿死亡发生情况,为制定孕产妇保健管理模式提供依据。[方法]对永康市2006年10月—2011年9月围产儿死亡病例及评审资料进行回顾性分析。[结果]2007—2011年,流动人口围产儿死亡率逐年下降。5年中流动人口围产儿死亡率为21.97‰,本地人口围产儿死亡率为6.78‰,流动人口围产儿死亡率远高于本地人口(P<0.01)。流动人口因胎儿因素、原因不明、母亲因素、胎盘因素而发生的围产儿死亡比例均高于本地人口(P<0.05);流动人口孕母孕期保健服务接受率远低于本地人口(P<0.01)。[结论]尽管5年来流动人口围产儿死亡有明显下降,但仍远高于本地人口。流动人口保健覆盖率低,应制定相应措施,加强流动人口孕期保健管理和健康宣教,提高流动人口的保健意识,向贫困流动人口提供基本的免费孕期保健服务,以降低流动人口围产儿死亡率。
[Objective] To analyze the incidence of perinatal death in Yongkang City, Zhejiang Province, and provide the basis for formulating maternal health management mode. [Methods] A retrospective analysis of perinatal deaths and assessment data from October 2006 to September 2011 in Yongkang City. [Results] From 2007 to 2011, the perinatal mortality rate of floating population decreased year by year. In five years, the perinatal mortality rate of floating population was 21.97 ‰, and the perinatal mortality rate of local population was 6.78 ‰. The perinatal mortality rate of floating population was much higher than that of the local population (P <0.01). The proportion of perinatal deaths in floating population was higher than that of the local population (P <0.05) due to unidentified fetal factors, unknown causes, maternal factors and placental factors (P <0.05). The acceptance rate of pregnant women during floating pregnancy was significantly lower than that of the local population (P <0.01) ). [Conclusion] Although the death rate of the floating population has obviously decreased in five years, it is still far higher than the local population. Floating population health coverage is low, and corresponding measures should be formulated to strengthen the health management and health education of floating population during pregnancy, improve the health awareness of migrant workers and provide basic free pregnancy care services to the floating migrant population to reduce the perinatal mortality rate among floating population.