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本文报道上海市七个妇产科医院1977年的围产期死亡率,其平均值为14.18‰,最高值19.58‰,最低8.06‰;与亚欧美洲8国(1974～1976)比较,居第4位。死亡原因以未成熟及浸软儿、先天性畸形、缺氧、脐带胎盘情况为多数,与欧美等国略同。本文强调首先应提高产科质量,尽快统一围产期的定义及标准,并在大城市中成立新生儿中心,接收全市及郊县转来之高危产新生儿,以便更进一步降低围产期死亡率。
This article reports the perinatal mortality rate of seven obstetrics and gynecology hospitals in Shanghai in 1977 with an average of 14.18 ‰, the highest value of 19.58 ‰ and the lowest of 8.06 ‰. Compared with the eight countries in Asia, Europe and the Americas (1974-1976) 4. The cause of death is immature and infants, congenital malformations, hypoxia, umbilical cord placental conditions for the majority, with slightly the same as in Europe and the United States and other countries. This article emphasizes that we should first improve the quality of obstetrics, harmonize the definition and standard of perinatal as soon as possible, and establish neonatal centers in major cities to receive high-risk neonates transferred from the whole city and suburban counties so as to further reduce the perinatal mortality rate .