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目的:了解流动人口围生儿死亡的构成和原因,以便有针对性地采取医疗保健措施,从而降低流动人口围生儿死亡率。方法:对2008、2009年2年间余姚市发生的160例流动人口围生儿死亡进行回顾性分析,结果采用χ2检验。结果:流动人口的围生儿死亡发生率为26.02‰,高于常住人口的19.43‰(P<0.05);流动人口的死产发生率为2.28‰,显著高于常住人口的0.4‰(P<0.01);通过评审流动人口围生儿死亡中,创造条件可避免死亡和可避免死亡比例为31.25‰,显著高于常住人口的13.54‰和0(P<0.01)。结论:加大对流动人口的围生保健知识宣传,提高他们的自我保健意识,扩大流动孕产妇的保健覆盖率并提高每次产前检查的质量,极早发现并控制或纠正孕妇的高危因素,坚决打击非法接生,杜绝家庭分娩,从而有效地降低流动人口的围生儿死亡率。
OBJECTIVE: To understand the causes and causes of perinatal death among migrants in order to take targeted health care measures to reduce perinatal mortality among migrants. Methods: A retrospective analysis was conducted on the perinatal deaths of 160 migrant population in Yuyao City in 2008 and 2009, and the results were analyzed using χ2 test. Results: The incidence of perinatal death in floating population was 26.02 ‰, 19.43 ‰ higher than that of resident population (P <0.05). The incidence of stillbirth among floating population was 2.28 ‰, which was significantly higher than that of resident population (0.4 ‰, P < 0.01). Among the perinatal deaths of floating population, the proportion of avoidable deaths and avoidable deaths among the floating population was 31.25 ‰, significantly higher than that of the resident population of 13.54 ‰ and 0 (P <0.01). CONCLUSIONS: Increasing the awareness of perinatal health care among migrants, raising their awareness of self-care, expanding the coverage of migrant workers and improving the quality of prenatal care, and early detection and control of high risk factors in pregnant women , Resolutely crack down on illegal deliveries and put an end to family births, effectively reducing the perinatal mortality rate among the floating population.