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目的:探讨影响围产儿死亡的主要原因及预防措施。方法:分析2007年射阳县围产儿死亡病例的一般情况、死亡原因、产前检查和高危妊娠情况,比较不同级别医院围产儿死亡构成比。结果:围产儿死亡的前3位死因依次为新生儿窒息、畸形、脐带因素;围产儿死亡病例中,仅29.85%的孕妇接受过定期产检;高危妊娠使围产儿死亡的风险增加;二级、一级医院围产儿死亡构成比不同。结论:降低围产儿死亡率必须采取综合措施,从提高人群的健康意识、加强和完善社会医疗保障体系、提高围产期保健质量三方面着手,以便有针对性地改进围产期保健工作,降低围产儿死亡率。
Objective: To explore the main causes of perinatal death and preventive measures. Methods: To analyze the general situation of perinatal deaths, the cause of death, prenatal examination and high-risk pregnancy in Sheyang County in 2007 and compare the proportions of perinatal death in different levels of hospitals. Results: The causes of perinatal death were asphyxia, deformity and umbilical cord, respectively. Only 29.85% pregnant women received perinatal check-up. The risk of perinatal death increased with high-risk pregnancy. The second, The perinatal mortality in primary hospitals is different. Conclusion: To reduce the perinatal mortality rate, comprehensive measures must be taken to improve the population’s health awareness, strengthen and perfect the social medical security system and improve the quality of perinatal care in three aspects, in order to improve perinatal health care work and reduce Perinatal mortality.