论文部分内容阅读
目的:分析不同户籍类型围生儿死亡的特点,比较二者之间的死亡原因及孕期保健的差异及围生儿死亡评审的效果。方法:对1998年1月~2007年12月的围生儿死亡、死亡评审和孕产妇系统管理资料进行回顾性分析,结果用卡方检验进行统计学分析。结果:10年围生儿死亡率平均为13.59‰,其中流动人口平均为20.12‰,常住人口平均为9.65‰,两组差异有统计学意义(P<0.001);常住人口的孕产妇系统管理率、早孕建卡率、产前检查率、≥8次产前检查率明显高于流动人口,两组差异有统计学意义(P值均<0.001),常住人口围生儿死亡率评审干预前、后比较呈下降趋势,差异有统计学意义(P<0.001),流动人口围生儿死亡率评审干预前、后比较,差异无统计学意义(P>0.05)。结论:加强流动人口的孕产期系统保健,特别是孕早、中期保健,做好孕中期出生缺陷筛查并及时在妊娠28周前确诊及处理,落实死亡评审干预措施,提供产前保健项目资助,是降低围生儿死亡率的关键。
OBJECTIVE: To analyze the characteristics of perinatal death in different types of domicile and to compare the causes of death and the difference in prenatal care and the effect of perinatal death assessment. Methods: The data of perinatal death, death assessment and maternal system management from January 1998 to December 2007 were retrospectively analyzed. The results were analyzed by chi-square test. Results: The average perinatal mortality rate in 10 years was 13.59 ‰, of which the average floating population was 20.12 ‰ and the average resident population was 9.65 ‰, with significant difference between the two groups (P <0.001). The maternal system management rate , Card rate of early pregnancy, the rate of prenatal examination, ≥8 prenatal examination was significantly higher than the floating population, the difference between the two groups was statistically significant (P <0.001), the resident population perinatal mortality review before intervention, (P <0.001). There was no significant difference in perinatal mortality among the floating population before and after the intervention (P> 0.05). Conclusion: To strengthen the maternal and systemic health care system for migrant workers, especially in the first trimester and the second trimester, to screen for the second trimester birth defects and timely diagnosis and treatment before 28 weeks gestation, to implement the death assessment interventions and to provide prenatal care items Funding is the key to reducing perinatal mortality.