Analysis of Status of Perinatal Death in Quanzhou City from 2019 to 2022
Objective:To analyze the status of perinatal death in Quanzhou city from 2019 to 2022.Method:A total of 21 332 perinatal infants from Quanzhou Women's and Children's Hospital from 2019 to 2022 were selected.The perinatal and maternal information was collected.The perinatal death condition and its causes were analyzed.The perinatal mortality of different maternal ages,places of residence in maternal,fetal sex,number of fetuses,gestational weeks and birth weight in fetus were analyzed.The concurrency symptom and complications of death perinatal pregnancy were analyzed.Result:From 2019 to 2022,there were 21 076 live perinatal infants,256 dead perinatal infants(including 233 stillbirths and 23 neonatal deaths),and the perinatal mortality rate was 12.0‰.The main causes of perinatal death were:birth defect in 186 cases(72.7%),umbilical cord factor in 30 cases(11.7%),birth asphyxia in 18 cases(7.0%),preterm birth in 14 cases(5.5%),intrauterine infection in 4 cases(1.6%).The highest perinatal mortality rate was 29.2‰in the younger age group.There was significant difference in perinatal mortality among different maternal ages(P<0.05).The perinatal mortality rate in rural areas is 1.43 times that in urban areas.The perinatal mortality of gender unknown was significantly higher than that of male and female,and the difference was statistically significant(P<0.05).The perinatal mortality of twins and multiple fetuses was significantly higher than that of single fetuses,the difference was statistically significant(P<0.05).The perinatal premature death rate was significantly higher than that of full-term and expired infants,the difference was statistically significant(P<0.05).The perinatal mortality in the low weight group was significantly higher than that in the normal group and super weight group,and the difference was statistically significant(P<0.05).Among 256 perinatal deaths,44 cases(17.2%)were associated with pregnancy complications.There were 212 cases(82.8%)without complications.Conclusion:From 2019 to 2022,the perinatal mortality rate in Quanzhou showed an increasing trend year by year,and birth defects were the main cause of perinatal death in Quanzhou.According to the analysis of related factors(age of pregnant women,fetal weight,number of births,etc.),premarital physical examination and improvement of prenatal screening and diagnosis can reduce the incidence of birth defects,thereby reducing perinatal mortality.
Perinatal deathBirth defectsHealth care management
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