Survey on clinical related factors of 108 cases of perinatal death
JIANG Panhua
CHEN Huijuan
XU Qian
HUANG Lu
Abstract：Objective To retrospective analysis of 108 perinatal death related clinical factors,summarize intervention prevention measures and to reduce the perinatal mortality. Methods A retrospective analysis was conducted on the data of 108 cases of perinatal death during the period from 2013 to 2015 in Wuxi Maternity and Child Health Hospital by analysis peri-natal death review card. The observation indexes including maternal age, gestational age, parity, pregnancy, maternal risk factors and fetal factors. Results Total perinatal death was 108 cases from 2013 to 2015. The prevalence of perinatal death was 3.03‰. The prevalence of stillbirth was 2.13‰. The incidence of stillbirth accounted for 70.37% of perinatal deaths. The women aged 18 to 34 have 100 perinatal deaths,accounting for 92.59%. Women over 35 years old have 8 cases of peri-natal death,accounting for 7.41%,single fetal perinatal death was found in 97 cases(89.81%),twins and multiples perina-tal death in 11 cases(10.19%). The gestational age of 28 has 88 cases of perinatal death, accounting for 81.48%. More than 37 gestational ages revealed 20 cases of perinatal death, accounting for 18.52%. Regular prenatal inspectors during pregnancy was 63 cases(58.33%),not regular inspection or during pregnancy was 45 cases(41.67%);The current house-hold registration regular prenatal pregnancy or only 12 cases(11.12%),local household registration regular prenatal 51 cases (47.22%),45 and 63 cases of men and women,respectively,with 41.67% and 58.33% respectively. Perinatal death cau-ses in the order:fetal abnormalities (30 cases,27.78%), merger thoracoabdominal effusion (13 cases,12.03%), inclu-ding chest effusion (13 cases,12.03%);The placenta and umbilical cord factors (38 cases,35.18%), including placenta previa (10 cases,9.26%); Mother disease (25 cases, 23.15%), in which pregnancy hypertension disease (11 cases, 10.19%);Fetal growth restriction (8 cases,7.41%),fetal blood transfusion syndrome (4 cases,3.70%) and placental abruption (5 cases,4.63%). Two or more complications fetal abnormalities, umbilical cord factor are important risk factor for perinatal deaths. Conclusion The prenatal diagnosis should be strengthened,eugenic pre-pregnancy and pregnancy engi-neering free for birth defects screening should be done to control the incidence of fetal abnormalities so as to reduce perinatal mortality.in addition, improving the quality of midwifery and obstetric techniques to improve the quality of perinatal care is powerful measures to reduce perinatal mortality.
Keywords：MortalityPerinatalAnalysisClinical related factorPreventive measures
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 391-394 )