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目的探讨妊娠中晚期胎死宫内的原因,提出干预措施,降低围产儿死亡率的发生。方法收集2007年1月至2009年12月间在安徽省六安市妇幼保健院住院分娩的279例孕中晚期死胎病例,对与死胎有关的母婴相关因素进行分析。结果脐带因素115例,占41.22%,居死因首位;羊水因素63例,占22.58%;母体因素46例,占16.49%;胎儿因素39例,占13.98%(其中畸形36例,占12.90%,双胎3例);原因不明16例,占5.73%。结论必须加强围产期保健管理和监测,建立孕妇保健卡,定期进行产前检查,教会孕妇自数胎动,自我监测胎儿宫内情况,若有异常立即就诊寻求解决办法,以期降低胎死宫内发生率及围产儿死亡率;加强孕中晚期出生缺陷监测,降低畸形儿发生率,提高出生人口素质。
Objective To investigate the causes of intrauterine pregnancy in the middle and late pregnancy and to propose interventions to reduce the incidence of perinatal mortality. Methods A total of 279 cases of stillbirth in the second trimester of pregnancy were collected from January 2007 to December 2009 in Lu’an Maternal and Child Health Hospital of Anhui Province. Maternal and infant related factors related to stillbirth were analyzed. Results There were 115 cases of umbilical cord factors (41.22%), with the first place of death; 63 cases of amniotic fluid factors (22.58%), 46 cases of maternal factors (16.49%), 39 cases of fetal factors (13.98% 3 cases of twins); unknown reason 16 cases, accounting for 5.73%. Conclusions Management and monitoring of perinatal health care must be strengthened. The health care card for pregnant women should be established. Prenatal care should be regularly conducted. The number of pregnant women from the moment of fetal movement should be monitored. Self-monitoring of intrauterine conditions should be conducted. If there is any abnormality, seek solutions immediately, Incidence and perinatal mortality; strengthen birth defects in the second trimester monitoring, reduce the incidence of deformed children, improve the quality of birth population.