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目的:分析及探讨浦东新区围产儿死亡现状,探讨围产儿死亡及相关因素,为制定相应干预措施提供依据。方法:回顾性分析2005-2009年浦东新区所有助产医疗机构上报的围产儿死亡个案和评审资料。结果:2005-2009年上海市浦东新区平均围产儿死亡率为6.27‰,从2005年的7.26‰下降到2009年的5.36‰,呈明显的逐年下降趋势;81.47%的围产儿死亡发生于外地户籍孕产妇,上海市户籍的围产儿死亡率平均为3.13‰,外地户籍为8.12‰;围产儿中死胎占62.80%,早期新生儿死亡28.71%,呈上升趋势;死产占8.49%,5年来显著下降;围产儿死亡原因中前5位的依次是死因不明、严重畸形、早产、胎盘早剥、优生引产;评审结果显示,可避免死亡占3.68%,创造条件可避免死亡占15.42%,不可避免死亡80.90%。结论:浦东新区围产儿死亡率较低,加强外地户籍孕产妇围产期保健、积极预防出生缺陷、提高新生儿抢救能力是降低围产儿死亡率的关键。
OBJECTIVE: To analyze and discuss the status of perinatal death in Pudong New Area, investigate the perinatal mortality and related factors, and provide the basis for formulating the corresponding intervention measures. Methods: A retrospective analysis of all perinatal deaths and review reports submitted by all Midwifery institutions in Pudong New Area during 2005-2009. Results: The average perinatal mortality rate in Pudong New Area in Shanghai from 2005 to 2009 was 6.27 ‰, down from 7.26 ‰ in 2005 to 5.36 ‰ in 2009, showing a declining trend year by year. 81.47% of all perinatal deaths occurred in other cities The average perinatal mortality rate for pregnant women and Shanghai residents was 3.13 ‰, while that for overseas residents was 8.12 ‰. The number of stillbirths in perinatal children accounted for 62.80% and the number of early neonatal deaths was 28.71%, showing an upward trend. The proportion of stillbirths accounted for 8. 49% Decreased; perinatal causes of death in the top 5 followed by the cause of death, severe deformity, premature delivery, placental abruption, eugenics; review results show that 3.68% of deaths can be avoided, create conditions to avoid deaths accounted for 15.42%, inevitable 80.90% of deaths. Conclusions: The perinatal mortality rate in Pudong New Area is relatively low. It is crucial to strengthen the perinatal care of pregnant women of foreign registered permanent residence, actively prevent birth defects and improve the neonatal rescue ability.