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目的分析围产儿死亡率、死亡原因及相关因素,为控制围产儿死亡、制定干预措施提供科学依据。方法对桐乡市2003-2012年期间妊娠满28周至出生后7天内的死亡围产儿共671例的死亡原因及相关因素进行回顾分析。结果围产儿死亡率8.09‰(671/82987)。死胎、死产及7天内新生儿死亡分别占59.46%、4.92%和35.62%。死亡原因前3位依次为出生缺陷(246/726)、脐带胎盘异常(118/726)、胎儿因素(95/726)。结论降低围产儿死亡的关键是降低7天内新生儿死亡,重点是提高产科质量和新生儿复苏技能,加强孕中期出生缺陷筛查。
Objective To analyze perinatal mortality, causes of death and related factors to provide a scientific basis for the control of perinatal death and the development of interventions. Methods A retrospective analysis was conducted on the causes of death and related factors in 671 cases of perinatal deaths in Tongxiang from 28 weeks of pregnancy to 7 days after birth between 2003 and 2012. Results The perinatal mortality rate was 8.09 ‰ (671/82987). Stillbirths, stillbirths and neonatal deaths within 7 days accounted for 59.46%, 4.92% and 35.62%, respectively. The top three causes of death were birth defects (246/726), umbilical cord placental abnormalities (118/726) and fetal factors (95/726). Conclusions The key to reducing perinatal deaths is to reduce neonatal deaths within 7 days, focusing on improving obstetric quality and neonatal resuscitation skills and strengthening screening for birth defects in the second trimester.