Objective To understand the current status and influencing factors of neonatal mortality in Shaanxi Province,to explore the problems of policy implementation,and to give suggestion on improvements and policies to reduce neonatal death. Method Data of the neonatal death monitoring and death review from 2010 to 2016 in Shaanxi Province were analyzed retrospectively. Results The neonatal mortality rate of Shaanxi province declined from 8.94‰ in 2010 to 3.87‰ in 2016.The rural decline rate (5.77‰) was greater than that of the city (1.8‰).The main causes of the neonatal death were premature/low birth weight,birth asphyxia,accidental suffocation,congenital heart disease,pneumonia and congenital anomaly.In 2010,2011 and 2013,birth asphyxia ranked in the first of the death causes;In 2012,congenital heart disease was the first; Since 2015,premature /low birth weight has been the first cause of neonatal death.A total of 66 cases were reviewed,11(16.7%) were inevitable death; 37(56.0%) were avoided death by creating conditions,18(27.3%)were avoided death. Conclusions Neonatal recovery skills training is suggested to be powered in order to minimize neonatal motality.And it is crucial to standardize the management of the premature and neonatal critical disease treatment technology and to establish the network of emergency transion in critical newborns.
Key words
death review /
rank order of death cause /
neonate
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