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目的:了解暂住人口的围产儿死亡与孕产期保健关系。方法:对2006年1月～2007年8月发生的围产儿死亡病例进行回顾性分析。结果:分娩数18602例,围产儿死亡数165例,围产儿死亡率8.9‰。其中常驻人口围产儿死亡率7.0‰。暂住人口围产儿死亡率11.1‰。两者差异有显著性意义(P<0.01)。暂住人口的围产儿死亡率与胎儿性别、孕妇年龄差别不大(P>0.05),而与分娩方式和围产儿死因差异有显著性意义(P<0.01)。结论我地暂住人口围产儿死亡率高于常驻人口,其主要原因是暂住人口的孕产保健和自我保护意识不够,非婚妊娠,胎儿畸形多等。加强暂住人口的孕产期检查及自我保护意识教育,控制非计划性妊娠,降低胎儿畸形等可降低暂住人囗围产儿死亡率。
OBJECTIVE: To understand the relationship between perinatal death and maternal health care in transient population. Methods: A retrospective analysis of perinatal deaths occurred from January 2006 to August 2007 was performed. Results: 18,602 childbirths, 165 perinatal deaths, and perinatal mortality rates were 8.9 per thousand. Among them, the resident population perinatal mortality rate 7.0 ‰. The perinatal mortality rate of temporary residents was 11.1 ‰. There was significant difference between the two groups (P <0.01). The perinatal mortality rate of temporary residents was not significantly different from that of fetuses or pregnant women (P> 0.05), but significantly different with the mode of delivery and the cause of death of perinatal children (P <0.01). Conclusions The perinatal mortality rate among temporary residents in our area is higher than that of the resident population. The main reason for this is the lack of awareness of maternity and self-protection for temporary residents, non-marital pregnancy and multiple fetal malformations. To strengthen the transient population of pregnancy screening and awareness of self-protection education, control of unplanned pregnancy, reduce fetal malformations can reduce transient perinatal infant mortality.