|
|
Analysis on related factors of perinatal death in Fujian Province 2019 |
LIN Ying-ying1 ZHANG Rong-hua2 XIU Xiao-yan3 CHEN Rong4 LIN Li-hua1 LIN Juan2▲ |
1.Department of Healthcare,Fujian Maternity and Child Health Hospital
2.Department of Women′s Health,Fujian Maternity and Child Health Hospital
3.Department of Health Education,Fujian Maternity and Child Health Hospital
4.Department of Child Health,Fujian Children′s Hospital |
|
|
Abstract Objective To analyze the perinatal mortality and related factors in Fujian Province in 2019.Methods Clinical data of perinatal infants were selected from 103 hospitals,which were in the birth defect monitoring system of Fujian Province from January to December 2019.And all perinatal death cases collected by the Three-level Maternal and Child Health Network were statistically analyzed..Results A total of 274 815 perinatal infants were monitored in 2019,and the number of perinatal deaths were 1186 and perinatal mortality rate was 4.32‰.Stillbirth was accounted for the first place with 1024 cases (86.3%),followed by early neonatal deaths with 162 cases (13.7%).Perinatal death was related to maternal age,number of fetuses,and birth defects.Elderly or young maternal,twins and multiple births,and combined with birth defects could increase perinatal mortality,the differences were statistically significant (χ2=31.581,46.431,3872.513,P<0.001).The main causes of perinatal death were birth defects,premature birth,umbilical cord factors,birth asphyxia and placental factors.Conclusion Birth defects are an important cause of perinatal death in our province.The key measures to reduce perinatal mortality are listed in the following,including carrying out pre-marital health check and pre-pregnancy health check,improving the level of prenatal screening and diagnosis,early detection,early diagnosis,and timely termination of pregnancy to reduce the occurrence of fatal birth defects.At the same time,it is important to strengthen the collaboration between perinatal care and obstetrics,timely identify and handlle high-risk pregnancies,reduce the occurrence of premature birth and birth asphyxia.
|
|
|
|
|
[1] |
朱丽萍,许厚琴,秦敏,等.2005~2008年上海市围产儿死亡情况分析[J].中国妇幼保健,2009,24(34):4844-4846.
|
[2] |
戴琼,徐海青,汪鸿,等.灰色模型对全国城乡围产儿死亡率趋势预测[J].中国妇幼健康研究,2018,29(2):139-141.
|
[3] |
Wang H,Liddell CA,Coates MM,et al.Global,regional,and national levels of neonatal,infant and under-5 mortality during 1990-20l3:a systematic analysis for the Global Burden of Disease Study 2013[J].Lancet,2014,384(9947):957-979.
|
[4] |
庄艳艳,刘彩霞.中国围产儿死亡率地区差异可能原因及产科处置对策[J].中国实用妇科与产科杂志,2015,31(12):1088-1090.
|
[5] |
高凌云.北京市朝阳区2013~2016年围产儿死亡情况分析[J].中国妇幼保健,2018,33(20):4741-4744.
|
[6] |
Blickstein I,Perlman S.Single fetal death in twin gestations[J].J Perinat Med,2013,41(1):65-69.
|
[7] |
杨甜,刘彩霞.双胎妊娠转诊常见问题的处理及注意事项[J].中国计划生育和妇产科,2018,10(2):12-15.
|
[8] |
Shek NW,Hillman SC,Kilby MD.Single twin demise:pregnancy outcome[J].Best Pract Res Clin Obstet Gynaecol,2014,28(2):249-263.
|
[9] |
冒志琴.2014~2017年南京市鼓楼区围产儿死亡原因及影响因素分析[J].中国卫生产业,2019,16(1):154-155.
|
[10] |
杨惠娟,于莹,刘凤洁,等.北京市高龄经产孕妇妊娠及分 娩 风 险 分析[J].中 国 妇 幼 保 健,2018,33(23):5319-5322.
|
[11] |
朱丹玲,马健,廖慧霞,等.深圳市福田区2015~2018年围产儿死亡率及死亡原因变化趋势分析[J].黑龙江医学,2019,43(5):533-534.
|
[12] |
陈金秋,蒋美芳,黄勤瑾,等.2011~2017年上海市浦东新区围产儿死亡情况分析[J].生殖医学杂志,2019,28(7):753-758.
|
[13] |
司艳梅,孔元原.出生缺陷筛查及诊断[J].中国临床医生杂志,2020,48(7):757-760.
|
[14] |
张璘,刘雪霞,宋桂宁,等.预防出生缺陷优生优育是全民健康的重要基石[J].中国医药,2020,15(9):1329-1333.
|
[15] |
刘永红,秦艳,磨静佳,等.南宁市出生缺陷的发生率、流行病学特征及影响因素[J].广西医学,2019,41(12):1536-1540.
|
[16] |
周建国.多中心大于胎龄儿新生儿期死亡原因及风险的病例对照研究[J].中国循证儿科杂志,2019,14(6):401-405.
|
[17] |
尚新彤,王煜,刘丽丽.妊娠中晚期阴式超声下宫颈长度联合阴道分泌物胎儿纤维连接蛋白对早产的预测效能分析[J].山西医药杂志,2020,49(13):1683-1686.
|
[18] |
王丽莎,于秀梅.单绒单羊双胎形成脐带真结1例[J].河北医药,2019,41(20):3198-3200.
|
[19] |
Benli AR,Cetin BN,Usta AT,et al.Effect of maternal age on pregnancy outcome and cesarean delivery rate[J].J Clin Med Res,2015,7(2):97-102.
|
[20] |
杨贺勤,王清,周莲娥,等.前置胎盘的特点及其对母儿妊娠结局的影响的分析研究[J].医学研究杂志,2020,49(6):165-170.
|
[21] |
胥彬.产前胎盘早剥、脐带绕颈与新生儿窒息的关联性分析[J].首都食品与医药,2020,27(13):38-39.
|
|
|
|