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目的探讨围产儿死亡因素及早期围产保健对围产儿死亡情况的影响。方法选取2006年4月～2008年5月在赵县医院住院的2859例孕产妇。以2007年后实施早期围产保健的1524例孕产妇作为观察组,以2007年前未实施早期围产保健的1335例孕产妇作为对照组。比较两组的围产儿死亡情况,分析围产儿死亡因素。结果观察组的围产儿死亡率(1.0%),明显低于对照组(4.7%)(P<0.001),先天畸形、新生儿疾病、早产因素是本组病例中围产儿死亡的主要原因。结论围产儿死亡主要与先天畸形、新生儿疾病、早产因素相关;早期围产保健可以明显降低围产儿死亡率。
Objective To investigate the impact of perinatal mortality and early perinatal care on perinatal mortality. Methods 2859 pregnant women were hospitalized in Zhao County Hospital from April 2006 to May 2008. A total of 1,524 pregnant women who started early perinatal care after 2007 were selected as the observation group and 1,335 pregnant women who did not have early perinatal care before 2007 as the control group. Perinatal mortality was compared between the two groups and the perinatal mortality was analyzed. Results The perinatal mortality rate (1.0%) in the observation group was significantly lower than that in the control group (4.7%) (P <0.001). Congenital malformations, neonatal diseases and preterm birth were the major causes of perinatal death in this group. Conclusion Perinatal deaths are mainly associated with congenital malformations, neonatal morbidity and preterm birth. Early perinatal care can significantly reduce perinatal mortality.