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目的:分析嘉定区围产儿死亡的主要原因,为制定预防措施,有效降低围产儿死亡率提供依据。方法:对2001年～2010年围产儿死亡评审资料进行汇总和分析。结果:10年围产儿死亡总数随着逐年围产儿增多而呈逐年小幅上升,10年围产儿死亡460例,围产儿死亡率为5.485‰。以外来人员明显,占总数的86.30%,本市与外来人员围产儿死亡率比较,差异具有统计学意义(χ2=50.82,P<0.01);围产儿死亡主要原因有胎儿畸形、不明原因等。结论:做好优生优育的一级预防工作,通过四级网络实行孕产妇全覆盖管理,实行外来孕妇首诊负责制及属地化管理,开展产前诊断,降低出生缺陷儿发生,加强健康宣传,增强孕产妇自我保健意识,提高医务人员的医疗技术水平是降低围产儿死亡率的重要举措。
OBJECTIVE: To analyze the main causes of perinatal death in Jiading District and provide the basis for making preventive measures and reducing the perinatal mortality rate effectively. Methods: The data of perinatal death assessment from 2001 to 2010 were summarized and analyzed. Results: The total number of perinatal deaths in 10 years showed a slight increase year by year with the increase of perinatal year by year. 460 cases of perinatal death occurred in 10 years and the perinatal mortality rate was 5.485 per thousand. The external causes were obvious, accounting for 86.30% of the total. The difference in perinatal mortality rate between this Municipality and non-native staff was statistically significant (χ2 = 50.82, P <0.01). The main causes of perinatal death were fetal malformations and unexplained causes. Conclusion: To do a good job of primary prevention of prenatal and postnatal care, through the four network implementation of full coverage of maternal management, implementation of the first foreign-born pregnant women responsible for the responsibility system and localization management, prenatal diagnosis, reduce birth defects, strengthen health promotion, To enhance the awareness of maternal self-care and to improve medical and technical skills of medical staff are important measures to reduce perinatal mortality.