摘要
目的探讨妊娠晚期死胎的相关原因,提出可行的预防措施以降低死胎的发生率。方法根据安徽省妇幼保健院围产儿死亡季报表的信息收集2015年1月至2017年1月妊娠晚期死胎患者的临床资料,统计分析死胎患者的一般资料、孕周、死胎原因。结果 (1)158例死胎患者的病因顺位依次为妊娠合并症或并发症(48/158,30.4%)、胎儿因素(42/158,26.6%)、不明原因(32/158,20.2%)、脐带因素(28/158,17.7%)及胎盘因素(8/158,5.1%)。(2)死胎多发生在孕34～36^(+6)周(64/158,40.5%),以初产妇(93/158,58.9%)、未正规产检者(82/158,51.9%)多见。(3)对不同孕周死胎原因的分布情况进行统计分析显示,不同孕周死胎原因的构成没有统计学差异(χ_(校正)~2=10.49,P=0.23)。(4)33.4%(44/128)患者无胎动异常感觉,只有4.7%(6/128)患者在死胎前有自觉胎动频繁。结论加强围产期的保健与管理、早发现和早治疗妊娠合并症或并发症,提高孕妇对胎动的关注度有助于减少死胎的发生。
Objective To analyze the causes of stillbirth during the third trimester of pregnancy and propose feasible preventive measures so as to reduce the incidence of stillbirth.Methods According the Perinatal Death Season Report of Maternal and Child Health Hospital Affiliated to Anhui Medical University,we gathered the clinical data of stillbirth in third trimester of pregnancy from January 2015 to January 2017 to analyze the general data,gestational age and causes of stillbirth.Results The causes of 158 cases of stillbirth ranked in the following order：pregnancy complications（30.4%,48/158）,fetal factors（26.6%,42/158）,unexplained causes（20.2%,32/158）,umbilical cord factors（17.7%,28/158）and placental factors（5.1%,8/158）.Stillbirth occurred mostly in 34-36^（＋6） gestational weeks（64/158,40.5%）,especially in primiparas（93/158,58.9%）and cases with irregular antenatal inspection（82/158,51.9%）.Statistical analysis of the causes of stillbirth in different gestational weeks showed that there was no significant difference in the causes of stillbirth among cases of different gestational weeks（χ~2=10.49,P=0.23）.There were 33.4%cases（44/128）without abnormal sensation of fetal movement,and only 4.7%（6/128）cases felt frequent fetal movement before stillbirth.Conclusion To strengthen the health and management of perinatal period,to discovery and treatment of pregnancy complications early and to improve pregnant women＇s attention to fetal movement can help to reduce the incidence of stillbirth.
作者
秦田瑞
陶峰
陈红波
QIN Tian-rui;TAO Feng;CHEN Hong-bo(Maternal and Child Health Hospital Affiliated to Anhui Medical University,Anhui He f ei 230001,China)
出处
《中国妇幼健康研究》
2018年第11期1479-1483,共5页
Chinese Journal of Woman and Child Health Research
基金
安徽省政府妇儿工委办公室政策研究资助项目(项目编号:2015-1201)
关键词
死胎
病因
妊娠晚期
预防
stillbirth
cause
third trimester of pregnancy
prevention
