摘要
目的探讨妊娠中晚期胎死宫内的原因,提出干预措施,降低围产儿死亡率的发生。方法收集2007年1月至2009年12月间在安徽省六安市妇幼保健院住院分娩的279例孕中晚期死胎病例,对与死胎有关的母婴相关因素进行分析。结果脐带因素115例,占41.22%,居死因首位;羊水因素63例,占22.58%;母体因素46例,占16.49%;胎儿因素39例,占13.98%(其中畸形36例,占12.90%,双胎3例);原因不明16例,占5.73%。结论必须加强围产期保健管理和监测,建立孕妇保健卡,定期进行产前检查,教会孕妇自数胎动,自我监测胎儿宫内情况,若有异常立即就诊寻求解决办法,以期降低胎死宫内发生率及围产儿死亡率;加强孕中晚期出生缺陷监测,降低畸形儿发生率,提高出生人口素质。
Objective To explore the causes of intrauterine fetal death and to provide some corresponding interventions so as to reduce the perinatal mortality rate.Methods 279 cases of dead fetuses in medium-later stage admitted to Liu＇an maternal and child health care hospital of Anhui province from January 2007 to December 2009,and the related death causes were analyzed.Results The leading five death causes were：115 cases（41.22%） died of umbilical cord factor,63 cases（22.58%） were oligohydramnios,46 cases（16.49%） were prenatal infection,39 cases（13.98%） died of merge malformations.Conclusions Perinatal health care management and monitoring should be strengthened in rural areas.Through the establishment of maternal health care card,regular antenatal maternal examination,teaching pregnant women how to count the number of fetal movement,self monitoring of fetal conditions,abnormal conditions timely treatment and other measures to reduce the incidence of intrauterine fetal death and perinatal mortality;additionally,the medium-later stage pregnancy birth defects monitoring should be strengthened to reduce deformity rate and improve the quality of the birth population.
出处
《中国妇幼卫生杂志》
2012年第3期135-138,共4页
Chinese Journal of Women and Children Health
关键词
妊娠中晚期
死胎
围产保健
Medium-later perinatal stage
Dead fetuses
Perinatal care
