摘要
目的:探讨台州市某医院围产儿死亡原因,为制定降低围产儿死亡率的相关对策提高依据。方法:回顾性分析2011年浙江省某医院72例围产儿死亡病例。结果:2011年该院围产儿死亡率为14.66‰,本地与流动人口间有极显著差异(P<0.001);出生缺陷是死胎主因;胎儿疾病是早新生儿首位死因。结论:开通互联网平台健康干预,填补孕前及孕12周内保健盲区,进行一级预防;流动人口专案管理,高危孕妇个性化指导;对企业外来育龄妇女健康传播;建立双向转诊制度,降低剖宫产率,提高助产士核心技能,降低围产儿死亡率。
To investigate the causes of perinatal death in a hospital of Taizhou, and develop to reduce the mortal- ity. Methods： Make a retrospective statistical analysis on the 72 cases of perinatal death in a hospital, Zhejiang,2011. Results： The perinatal mor- tality isl4.66 %~ ;There is a highly significant difference （P 〈 0.001 ） between the local and floating populations. Birth defect is the major cause. The disease is the primary cause of neonatal death. Conclusion： Open the Internet platform for health interventions. Carry out primary prevention during the pre -pregnancy period and 12 weeks after pregnancy;Implement a dedicated project management of the floating population and carry out personalized guidance to the high - risk pregnant women; Take health training for women employees of childbearing age ; Establish a two - way referral system to reduce the cesarean delivery rate. Improve the core skills of midwives to reduce perinatal mortality.
出处
《医学与社会》
2013年第5期62-64,共3页
Medicine and Society
关键词
围产儿
死亡率
出生缺陷
流动人口
Perinatal
Mortality
Birth defect
Floating population
