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目的探讨死胎发生原因,尽早发现与其相关的高危因素,提早预防、降低围产儿死亡率,提高围生期医疗质量。方法回顾性分析2010年1月至2012年12月在我院住院并分娩的3647例孕产妇中发生死胎的例数及导致胎死宫内的原因。结果 3647例住院并分娩的孕产妇中,发生死胎共17例,其中孕妇因素10例,胎盘及脐带因素4例,胎儿因素2例,原因不明1例。结论死胎的发生原因与孕妇自身健康状况、胎盘及脐带、染色体异常等因素存在着密不可分的联系,其中以妊娠合并症的死胎几率为首位,由此可见,充分重视产前保健,加强孕期监护和高危妊娠孕妇的管理,积极主动防治妊娠期合并症、并发症,是减少死胎发生率和围产儿死亡率的有效措施。
Objective To investigate the causes of stillbirth, find the risk factors associated with it as early as possible, prevent it early, reduce perinatal mortality and improve the quality of perinatal medical care. Methods A retrospective analysis of the number of stillbirths in 3647 pregnant women who were hospitalized and delivered in our hospital from January 2010 to December 2012 and the causes of fetal death. Results Among 3647 pregnant women who were hospitalized and delivered, there were 17 stillbirths, including 10 pregnant women, 4 placenta and umbilical cord factors, 2 fetal factors and 1 unexplained cause. Conclusions The causes of stillbirth are closely related to their own health status, placenta and umbilical cord, chromosomal abnormalities and other factors. Among them, the incidence of stillbirth with pregnancy complications is the highest, which shows that full attention to prenatal care and strengthening of pregnancy monitoring And the management of pregnant women at high risk, proactive prevention and control of complications and complications during pregnancy, is an effective measure to reduce the incidence of stillbirth and perinatal mortality.