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本文综合分析了两个单位1975年至1992年6月期间442例的多胎妊娠888名围产儿,其中死胎16名,死产13名,新生儿死亡52名,死亡围产儿共81名,国产儿病死率为91.2％‰.本文认为:孕妇合并早产、妊高征、胎膜早破等妊娠并发症走围产儿死亡的主要因素,臀牵引术或内倒转后臀牵引助产者围产儿病死率高。因此对多胎妊娠要加强产前检查和管理,对孕龄大于34周、估计胎儿体重在2000g以上者,适当放宽剖宫产指征,可望降低多胎妊娠围产儿病死率。
This article analyzes a total of 442 cases of multiple pregnancies in 442 pregnant women from 1975 to June 1992 in which 888 were born, of which 16 were stillbirths, 13 stillbirths, 52 newborn babies, 81 dead perinatal babies, domestic children Fatality rate was 91.2% o. This article believes that: pregnant women with preterm birth, pregnancy-induced hypertension, premature rupture of membranes and other complications of pregnancy perinatal death of the main factors, hips or hip reversing after hindlihood perinatal mortality high. Therefore, to strengthen the prenatal care and examination of multiple pregnancies, gestational age greater than 34 weeks, estimated fetal weight in more than 2000g, appropriate relaxation of cesarean indications, is expected to reduce perinatal mortality of multiple pregnancies.