2012-2015年某院再生育围产儿死亡情况分析  

Analysis of reproductive perinatal death in a hospital from 2012 to 2015

作　　者：谭洁[1] 张梅光[2] 

机构地区：[1]嘉兴市妇幼保健院,浙江嘉兴314000 [2]嘉兴学院医学院,浙江嘉兴314000

出　　处：《中国妇幼健康研究》2017年第4期389-391,共3页Chinese Journal of Woman and Child Health Research

摘　　要：目的了解单独二孩开放前后再生育人群围产儿死亡情况,更有效地进行干预,提高出生人口素质。方法对790例围产儿死亡母亲情况、死因进行分析,比较再生育人群围产儿不良结局的高危因素。结果单独二孩政策放开后再生育人数有所增加,以本地为主;随着再生育的增加,高危妊娠的风险明显增加,(<35岁组χ~2值为58.24,≥35岁组χ~2值为72.90,均P<0.01);其中以高龄、妊娠合并高血压疾病和胎盘因素最为明显。35岁以下再生育组由胎盘原因导致的围产儿死亡率明显高于初产组(χ~2=7.59,P<0.01),35岁以上再生育组除新生儿疾病外,其他原因导致围产儿的死亡率均高于初产组(χ~2值分别为27.53、28.56、12.00、8.19、5.33和17.02,均P<0.05)。结论再生育使母婴的风险均增加,需要通过加强宣教,做好孕前评估,规范产检,多科合作等干预措施,降低再生育人群孕产妇及围产儿死亡率,提高出生人口素质。Objective To investigate the changes of reproductive perinatal death before and after two-child policy for single-child family,so as to provide effective intervention measures and to improve quality of birth population.Methods A retrospective analysis was conducted on maternal situations of 790 cases of perinatal death and death causes to analyze the high-risk factors of perinatal adverse outcomes in reproductive population.Results Under the new two-child policy,the reproductive population increased,specially the local population.With the increasing of reproduction,the high-risk pregnancy（HRP） was significantly increased（group under 35 years：χ~2=58.24,group over35 years：χ~2=72.90,both P〈0.01）.Elderly pregnancy,PIH and placental factors were the most common causes.Perinatal mortality caused by placenta was obviously higher in reproductive group than in primipara group under 35 years（χ~2=7.59,P〈0.01）.In the group over 35 years,perinatal mortality caused by other factors besides neonatal disease was higher in reproductive group than in primipara group（χ~2value was 27.53,28.56,12.00,8.19,5.33 and 17.02,respectively,all P〈0.05）.Conclusion Reproduction increases both maternal and neonatal risk.Preventive measures such as strengthening education,assessing pre-pregnancy,specifying antenatal examination and multidisciplinary cooperation should be taken to reduce the reproductive maternal and perinatal death and to improve the quality of birth population.

关 键 词：再生育 围产儿死亡率 分析 预防措施 

分 类 号：R174[医药卫生—妇幼卫生保健]