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本组对1986年10月1日至1991年9月30日内,在青海省17所医院里分娩的死胎、死产、新生儿死亡均统一填表。分娩总数50509例,围产儿死亡1783例,围产儿死亡率31.55%,死胎748例占41.95%,死产438例占24.57%,新生儿死亡597例占33.48%。围产儿死亡原因:第一胎盘因素占16.43%,第二宫内缺氧占15.37%,第三早产儿占11.95%,第四畸形占9.93%,第五脐带因素占9.7%。本组城市围产儿死亡率25.37‰,农村47.78‰,牧区34.98‰,5年来比较死亡率有下降倾向,但仍处于高死亡率水平。今后需加强妇幼保健、产前检查、产时监护和提高产科质量,以进一步降低围产儿死亡率。
The group of October 1, 1986 to September 30, 1991, Qinghai Province, 17 hospitals in the delivery of stillbirths, stillbirths, neonatal deaths are uniformly filled in. Total number of deliveries was 50,509 cases, 1783 cases of perinatal deaths, perinatal mortality rate of 31.55%, stillbirths 748 cases accounted for 41.95%, stillbirths 438 cases accounted for 24.57%, neonatal deaths 597 cases accounted for 33.48%. Causes of perinatal death: the first placenta accounted for 16.43%, the second intrauterine hypoxia accounted for 15.37%, the third preterm children accounted for 11.95%, the fourth deformity accounted for 9.93%, the fifth umbilical cord factors accounted for 9.7%. The perinatal mortality rate in this group was 25.37 ‰, 47.78 ‰ in rural areas and 34.98 ‰ in pastoral areas. Compared with the previous five years, the comparative mortality rate tended to decline, but still remained at a high level of mortality. In the future, we need to step up maternal and child health care, prenatal care, maternity care and quality obstetrics so as to further reduce the perinatal mortality rate.