生殖医学杂志2018，Vol.27Issue(4)：299-304,6.DOI:10.3969/j.issn.1004-3845.2018.04.002
围产儿死亡151例分析
Analysis of 151 cases of perinatal death
摘要
Abstract
Objective:To analyze the etiolgies and risk factors of perinatal death,thus to prevent and reduce perinatal morbidity.Methods:The clinical data of 151 perinatal deaths which were the stillbirths in full 28 gestation weeks or the death of newborns within 7 days of birth in Peking Union Medical College Hospital from Jan.1,2010 to Dec.31 2016 were retrospectively analyzed.After their clinical data were reviewed,their etiologies were classified and analyzed.Results:The perinatal morbidity was 11.0‰ during the 7 years period,with 6.5‰ stillbirth rate(n=89)and 4.5‰ early neonatal death rate(n=62).The annual perinatal mortality,the stillbirth rate and the early neonatal mortality were fluctuated at a low level.The first three causes of stillbirth were maternal complication (38.0 ％),umbilical cord factor(19.7 ％) and placenta factor(18.3 ％).As to the early neonatal death,maternal complication(62.7％),fetal factors(11.9％)and placenta factors(11.9％)were the leading three causes.Conclusions:The perinatal morbidity of our hospital was stabilized at relatively low levels.The leading causes of death were maternal complication,especially hypertensive disorder complicating pregnancy.Placental examination,autopsy,cytogenetic analysis,and fetal maternal hemorrhage tests are suggested as basic examination for fetal death workup.关键词
围产儿死亡/死亡原因/死亡评估Key words
Perinatal morbidity/Cause of perinatal death/Fetal death workup引用本文复制引用
周莹,刘俊涛,高劲松,胡静,戚庆伟,周希亚,宋英娜,宋亦军,马良坤,蒋宇林..围产儿死亡151例分析[J].生殖医学杂志,2018,27(4):299-304,6.基金项目
国家科技支撑计划“临床医学研究协同网络建设示范应用研究(二)”(2015BAI13B04) （二）
