Objective To understand the cause of the early neonatal death and its influencing factors,and reduce the neonatal mortality provide effective intervention measures. Method Liangping county of chongqing medical institutions at the county level in October 2011-September 2016 (date from October statistics to the following year) 5 years of 48 cases of early neonatal death and neonatal death review data were retrospectively analyzed. Results The county medical institutions at the county level in the past 5 years early neonatal mortality rate was 2.04 ‰;Premature rupture of membranes(27.08%),abnormal amniotic fluid (18.75%),and abnormal umbilical cord (14.58%)were the main obstetric factors;The 3 most important reasons for the early neonatal death were preterm delivery and low birth weight (29.17%),neonatal severe asphyxia (18.75%),and birth defects (14.58%). Conclusion By strengthening medical institutions at the county level of pediatric equipment configuration and the talent team construction,the neonatal mortality rate is reduced.
Key words
early neonatal /
the cause of death /
interventions
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] 薛辛东,杜力中,毛萌.儿科学[M].2版,北京:人民卫生出版社,2012:5.
[2] 曾蔚越.早产与早产儿[M].北京:人民军医出版社,2006:10.
[3] 蹇涵.危险因素与早产儿死亡关系的临床探讨[J].当代医学,2013,19(17):156.
[4] Mathews TJ, MacDorman MF.Infant mortality statistics from the 2007 period linked birth/infant death data set[J]].Natl Vital Stat Rep, 2011,59(6):1-30.
[5] Word Health Organization.Newborns:reducing mortality[R].Fact Sheet N 333,2012.
[6] 卢红梅,吴晓琳,孙丽洲.新生儿出生缺陷396例临床分析[J].中国妇幼保健,2013,28(27):4471.
[7] 米弘瑛,李利,杨景辉.五年新生儿死亡原因分析[J].中华临床医生杂志,2011,5(17):5195-5796.
[8] 庄素霞.新生儿窒息产科原因探讨[J].中外医疗,2012,31(6):30-32.
[9] 高洁,郭靖,李昕,等.新生儿窒息78例的产科因素分析[J].陕西医学杂志,2012,41(2):241-242.
[10] 张莉.胎膜早破与难产74例临床研究[J].当代医学,2012,18(15):84-85.
[11] 张忠英.胎膜早破对妊娠影响分析[J].当代医学,2012,18(5):95-96.
[12] 杨素芳,夏月华,鲁小青.新生儿窒息92例产科因素分析[J].现代中西医结合杂志,2011,20(8):953.
[13] 单若冰,李海英,周继勇,等.S.T.A.B.L.E.在新生儿院前急救中的应用[J].中华急诊医学杂志,2011,20(9):913-914.
PDF(349 KB)
