北京市自1985年初开始,改革了多年来按医疗合同进行产前检查和分娩的办法,建立了围产保健工作责任制,实行产科划片分级分工医疗制度,以加强围产保健和母婴系统管理。北京市于1986年制定了医院产科质量考核评分标准,把围产儿死亡评审做为考核的内容之一。北京市宣武区为落实围产儿死亡评审工作,进行了初步的探索,取得了一定的成绩,现总结如下。评审制度与方法围产儿死亡评审制度(Perinatal mortality acedit)是由产科、新生儿科、 Since the beginning of 1985, Beijing has reformed the method of prenatal examination and delivery by medical contract over the years, established a responsibility system for perinatal health care and implemented the medical system of grading and division of labor in obstetrics, in order to strengthen the perinatal care and mother-infant system management. Beijing City in 1986 developed a hospital obstetric quality assessment score standards, perinatal death assessment as part of the assessment. Xuanwu District, Beijing to implement the assessment of perinatal death, conducted a preliminary exploration, and achieved some results, are summarized as follows. Accreditation system and method Perinatal mortality acedit is composed of obstetrics, neonatology,