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本文总结与分析在两个附属医院分娩的围产儿死亡原因。1979~1983年内出生围产儿10,414名,死亡327名,围产儿死亡率为31.40‰,其中死胎占34.56%,死产43.73%和新生儿死亡21.71%。围产儿主要死因顺序为胎位异常,窒息,畸形,早产和病理妊娠等。死胎以畸形,死产以胎位异常,新生儿以窒息死亡占首位。如能详查死胎、死产原因;提高尸解率;应用妊娠图、产程图、产后随访加强孕期监护、产程监护与产后保健等方法可以降低围产儿死亡率。
This article summarizes and analyzes the causes of perinatal death in the two affiliated hospitals. From 1979 to 1983, there were 10,414 perinatal deaths and 327 deaths. The perinatal mortality rate was 31.40 ‰, of which 34.56% were stillbirths, 43.73% stillbirths and 21.71% deaths from neonates. The main causes of perinatal fetal abnormalities, asphyxia, deformity, premature birth and pathological pregnancy. Stillbirth with deformity, stillbirth abnormal fetal position, neonatal death to suffocation as the first. If detailed investigation of stillbirth, causes of stillbirth; increase the rate of autopsies; application of pregnancy plans, labor plans, follow-up postpartum care to strengthen the monitoring of pregnancy, birth control and postpartum care and other methods can reduce perinatal mortality.