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目的分析苏州市围产儿死亡率变化及相关因素,探索降低围产儿死亡率的综合措施。方法对2008-2013年苏州市围产儿死亡资料进行统计分析。结果 6年中苏州市围产儿平均死亡率为7.11‰,并呈逐年下降趋势;多胎妊娠的发生率逐年上升;产妇年龄<20岁及>34岁组的围产儿死亡率较高;多胎妊娠的围产儿死亡率高于单胎妊娠;围产儿死亡原因依次为胎儿先天异常、原因不明、脐带因素、母体因素、早产低体重。结论要降低围产儿死亡率,应加大宣传力度,全面做好婚前、孕前、孕期、产时、产后宣教,提供各阶段的服务;加强人员培训,及早发现异常,尽早处理;加强对助孕机构的监管,减少多胎妊娠的发生;做好围产儿死亡评审工作,提高医务人员综合救治水平。
Objective To analyze the changes of perinatal mortality and its related factors in Suzhou and to explore the comprehensive measures to reduce perinatal mortality. Methods The statistical data of perinatal deaths in Suzhou during 2008-2013 were analyzed. Results The average perinatal mortality rate in Suzhou was 7.11 ‰ in 6 years, and showed a declining trend year by year. The incidence of multiple pregnancy increased year by year. The perinatal mortality rate was higher in males younger than 20 and 34 years old. The perinatal mortality rate was higher than that of singleton pregnancy. The causes of perinatal death were congenital anomalies of the fetus, unexplained causes, umbilical cord factors, maternal factors and preterm low birth weight. Conclusions To reduce the perinatal mortality rate, we should step up publicity to comprehensively do prenuptial, prenatal, prenatal, maternity and postnatal missions and provide services at all stages; strengthen personnel training to detect abnormalities as soon as possible; Institutional supervision to reduce the incidence of multiple pregnancies; do a good job of perinatal death review, improve medical staff comprehensive treatment.