黄醒华 马建荣 (100006 北京，首都医科大学附属北京妇产医院产科)黄醒华 马建荣 中华围产医学杂志 1998 0 1 2


    关键词：围产保健；围产儿死亡率；产妇死亡率；妊娠；高危 期刊 zhwcyxzz 0 论 著 fur -->


    

【摘要】 目的 探讨围产保健对降低孕产妇和围产儿死亡率的作用。 方法 对1980年1月～1997年12月在本院分娩者根据围产保健发展的四个阶段分析孕产妇及围产儿死亡率，并探讨有关因素,包括产前保健、高危妊娠及出生体重，统计各因素的特定围产儿死亡率。 结果 1960年到1997年孕产妇死亡率从31.7/10⁵ 降到16.1/10⁵ ，死亡原因从产科因素转向内科合并症。围产儿死亡率从1980年的21.2‰降到1997年10.9‰。 结论 围产保健可有效降低两个死亡率，两个死亡率不仅是评估围产保健效果的指标，而且是重要的信息反馈及决定措施的依据。

    Perinatal care and Changing Trend of Maternal and PerinatalMortality Huang Xinghua,Ma Jianrong.Beijing Capital Medical UniversityAffilicated Beijing Obstetrics and Gynecology Hospital， Beijing 100006

    【Abstract】 Objective To investigate the effect of perinatalcare on the reduction of the maternal and perinatal mortality. Methods Theperinatal care and the relationship between the maternal and perinatal mortality during1980 to 1997 were analysed.The factors that related to the motality were studied. Results Thematernal mortality rate was significantly decreased from 31.7/10⁵ live birthsin 1960 to 16.1/10⁵ live births in 1992～1997.The main cause of maternaldeaths in 1960' was obstetrical factors,but in 1997 it was pregnancy complications.Theperinatal mortality rate was 21.2‰ in 1980～1981,and was 10.9‰ in 1992～1997.Thefactors related to the maternal and perinatal mortality including the perinatal care,highrisk pregnancy,and birth weight were analysed,the specific mortality rate of each factorwas calculated. Conclutions The two mortalities can be used toevaluate the result of perinatal care,and are important feedback information for makinghealth care policy.Pernatal care play an important role in the reduction of maternal andperinatal mortality.

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