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【目的】为了解永康市医疗保健机构新生儿死亡情况,分析导致新生儿死亡的相关因素,总结经验教训,制订降低新生儿死亡率的干预措施。【方法】采用浙江省统一的《医疗保健机构新生儿死亡调查表》和儿童死亡报告卡(同全国妇幼卫生监测儿童死亡报告卡),对发生在全市开展母婴保健服务的20家医疗保健机构的新生儿死亡情况进行了调查和评审。同时对参加评审的专家对评审方案的可行性和可操作性进行了问卷调查。【结果】全市新生儿死亡率达3.63‰,新生儿死因顺位为出生窒息、早产低出生体重儿、意外窒息、新生儿肺炎、新生儿败血症。专家认为评审效果“较好,能够提高救治水平和抢救成功率”者占80.2%。【结论】新生儿死亡评审方案具有可行性和可操作性,定期开展全市范围内的新生儿死亡评审十分必要,能够找出辖区内导致新生儿死亡的主要因素,提出有效的干预措施。
【Objective】 To understand the neonatal death in health care institutions in Yongkang, analyze the related factors leading to neonatal death, summarize the experience and lessons and formulate the intervention to reduce the neonatal mortality rate. 【Method】 A total of 20 medical and health care institutions in Zhejiang Province were recruited by using the “Questionnaire on Neonatal Mortality in Healthcare Facilities” and the “Report on Child Mortality” (together with the “National Child and MCH Surveillance Card”) in Zhejiang Province. The neonatal deaths were investigated and assessed. At the same time, the experts participating in the assessment carried out a questionnaire survey on the feasibility and operability of the evaluation plan. 【Results】 The neonatal mortality rate in the city was 3.63 ‰. Neonatal cause of death was asphyxia of birth, premature delivery of low birth weight infants, accidental asphyxia, neonatal pneumonia and neonatal sepsis. Experts believe that the review results “better, to improve the level of rescue and rescue success rate ” who accounted for 80.2%. 【Conclusion】 The neonatal death assessment program is feasible and feasible. It is necessary to carry out the citywide neonatal death assessment on a regular basis. It can identify the main factors leading to neonatal death in the area and put forward effective interventions.