为探讨死胎的病因及处理，以制定可行的防治措施，对１９８５年１月～１９９５年３月间４４例死胎进行了分析。死胎占同期围产儿死亡的４５９％，最常见的原因为脐带因素及产科并发症，约１／４的病例原因不明。除４例严重并发症危及母体生命者行剖宫产外；其余的死胎均自阴道排出，引产者约占６００％。随诊２１例中，１５例再次妊娠，仅１例自然流产，其余均分娩健康婴儿。提示作好孕期监测及高危妊娠管理可有效减少死胎的发生。胎儿死亡后应尽快促使其排出，无特殊情况尽量避免行剖宫产。有死胎史的孕妇在严密监测与指导下仍可有正常分娩 In order to explore the etiology and treatment of stillbirth, in order to develop feasible prevention and treatment measures, from January 1985 to March 1995, 44 cases of stillbirth were analyzed. Stillbirths accounted for 45.9% of all perinatal deaths during the same period. The most common causes were umbilical cord factors and obstetric complications, and about a quarter of the cases were unknown. In addition to 4 cases of serious complications of endangering maternal life outside the cesarean section; the remaining dead were discharged from the vagina, induced abortion accounted for about 60  0%. Of the 21 patients who were followed up, 15 were re-gestated and only 1 had spontaneous abortion. The rest were all delivered healthy babies. Tip for pregnancy monitoring and management of high-risk pregnancy can effectively reduce the incidence of stillbirth. As soon as possible after fetal death to promote its discharge, no special circumstances try to avoid cesarean section. Pregnant women with a history of stillbirths may still have normal delivery under close monitoring and guidance