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目的了解早期新生儿死亡情况,分析东海县人民医院早期新生儿死亡原因及相关因素,探讨降低死亡率的干预措施。方法对东海县人民医院2010—2014年分娩的新生儿中发生的82例早期新生儿死亡病例进行回顾性分析。结果 5年县医院分娩早期新生儿病死率为1.99‰。其死亡原因前3位为早产低出生体质量、窒息和先天畸形。结论加强孕产妇系统管理工作,提高高危孕产妇的筛查和管理工作质量,预防出生缺陷,加强产时监护,及时处理胎儿宫内窘迫,是降低早期新生儿死亡的重要措施。
Objective To understand the death of early neonates, analyze the causes and related factors of early neonatal death in Donghai County People’s Hospital, and explore interventions to reduce mortality. Methods A retrospective analysis of 82 cases of early neonatal death occurred in neonates delivered from 2010-2014 in Donghai People’s Hospital was conducted. Results The incidence of neonatal mortality in early 5 years in county hospital was 1.99 ‰. The top three causes of death were preterm low birth weight, asphyxia and congenital malformations. Conclusion It is an important measure to reduce the death of early neonates by strengthening maternal system management, improving the quality of screening and management of high-risk pregnant women, preventing birth defects, strengthening the supervision of labor and timely treatment of fetal distress.