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.
林英英；张蓉华；修晓燕；陈熔；林丽华；林娟. 2019年福建省围生儿死亡情况分析[J]. 中国当代医药, 2020, 27(36): 98-101.
LIN Ying-ying；ZHANG Rong-hua；XIU Xiao-yan； CHEN Rong； LIN Li-hua； LIN Juan. Analysis on related factors of perinatal death in Fujian Province 2019. 中国当代医药, 2020, 27(36): 98-101.
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.
京公网安备 11010502046607号