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目的:了解该院围产儿死亡原因及其相关因素,明确围产期保健的重点,制订正确的对策和相应的措施以降低围产儿死亡率。方法:回顾并总结该院2007年7月～2009年6月院内围产儿死亡登记本、104例围产儿死亡报卡及围产儿死亡病历。参照WHO要求的三个环节、四个方面十二表格评审方法进行评审。结果:104例围产儿死亡中死胎48例,占46.2%;死产2例,占1.9%;早期新生儿死亡54例,51.9%。围产儿死亡死因排位,前3位依次是死因不明、早产儿和极低体重儿、新生儿窒息。围产儿死亡第1位影响因素是个人、家庭、居民团体知识技能问题,第2位影响因素是医疗保健知识技能,第三位影响因素是个人、家庭、居民团体态度。结论:加大孕期健康教育和健康促进的力度,提高孕产妇其自我保健意识和能力。加强围产期的保健管理,做到早发现、早诊断、早治疗高危因素,严格执行高危孕产妇分级管理制度,最大限度地降低围产儿死亡率。
OBJECTIVE: To understand the causes and related factors of perinatal death in this hospital, clarify the key points of perinatal care and formulate the correct countermeasures and measures to reduce the perinatal mortality rate. Methods: To review and summarize the hospital from July 2007 to June 2009 hospital perinatal death register, 104 cases of perinatal death card and perinatal death records. Reference to the three aspects of the WHO requirements, four aspects of twelve forms of assessment review. Results: 48 cases of stillbirth were found in 104 cases of perinatal death, accounting for 46.2%; 2 cases of stillbirth, accounting for 1.9%; 54 cases of early neonatal death, 51.9%. The cause of perinatal death ranking, the top three followed by the cause of death is unknown, premature children and very low birth weight infants, neonatal asphyxia. The first influential factor of perinatal death is the knowledge and skills of individuals, families and resident groups. The second influential factor is the knowledge and skills of health care. The third influential factor is the attitude of individuals, families and residents. Conclusion: To increase the intensity of health education and health promotion during pregnancy and to improve the awareness and ability of pregnant women to self-care. Strengthen the perinatal care management, to early detection, early diagnosis and early treatment of risk factors, strict implementation of high-risk maternal grading management system, to minimize perinatal mortality.