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目的:为了解围产儿死亡原因和变化规律,分析各干预措施的科学性和有效性,降低围产儿死亡率。方法:对2004~2007年常州市新北区11个乡镇按月上报的“妇幼卫生工作报表”及围产儿死亡报告卡等相关围产儿死亡资料进行分析。结果:新北区围产儿主要死因是先天畸形、早产低体重和宫内窒息。结论:要降低围产儿死亡率,必须加强婚前保健及孕期管理,采取有效的干预措施,避免畸形儿进入围产期;加强高危孕妇管理,积极防治妊娠并发症和合并症;加强围产期监护,提高产科质量。
OBJECTIVE: To understand the causes and changes of perinatal mortality and to analyze the scientificity and effectiveness of each intervention and to reduce perinatal mortality. Methods: The monthly maternal and child health reports and the perinatal death report cards were collected from 11 villages and towns in Xinbei District of Changzhou City from 2004 to 2007 to analyze the perinatal mortality data. Results: The main causes of perinatal death in Xinbei were congenital malformations, low birth weight and intrauterine asphyxia. Conclusion: To reduce perinatal mortality, we must strengthen prenuptial care and pregnancy management, take effective interventions to prevent malformation children into perinatal period; strengthen the management of high-risk pregnant women, and actively prevent pregnancy complications and complications; strengthen perinatal care , Improve obstetric quality.