沙特阿拉伯胡拜尔法赫德国王大学医院围产期死亡率趋势：一项十年研究
Trends in perinatal mortality at king fahd hospital of the university, Al-khobar, saudi arabia: a ten years study.
作者信息
Al-Mejhim F M, Al-Najashi S S
机构信息
Department of Obstetrics and Gynaecology, College of Medicine and Medical Sciences, King Faisal University, Dammam, Saudi Arabia.
出版信息
J Family Community Med. 1998 Jul;5(2):31-7.
OBJECTIVE
The aim of the study is to identify the major causes of perinatal mortality and to determine the main maternal factors which affect perinatal mortality at the King Fahd Hospital of the University (KFHU), Al-Khobar, Saudi Arabia.
METHODS
A retrospective study was conducted covering a period of ten years from January 1987 to December 1996. All 548 perinatal deaths, which occurred during that period, were analyzed according to Wigglesworth classification.
RESULTS
The study revealed a perinatal mortality rate of 19.2:1,000 births. Lethal malformations accounted for 116 (21.1%) of fetal deaths. Of the remaining 432 deaths, 214 (49.5%) occurred antenatally, 71 (16.5%) in labour and 147 (34%) within the first week of delivery. Amongst the normally formed babies, low birth weight was the commonest cause of death (29%) followed by the consequences of maternal diseases (14.8%). The cause of death was unknown in 17.3% of mature babies who died. Unbooked patients were responsible for 72% of the total perinatal deaths.
CONCLUSION
Reduction of the perinatal mortality rate is possible when all women begin to value preconception counselling and attendance at antenatal clinics.
目的
本研究旨在确定沙特阿拉伯胡拜尔法赫德国王大学医院（KFHU）围产期死亡的主要原因，并确定影响围产期死亡的主要孕产妇因素。
方法
进行了一项回顾性研究，涵盖1987年1月至1996年12月的十年时间。根据威格尔斯沃思分类法对该期间发生的所有548例围产期死亡病例进行了分析。
结果
研究显示围产期死亡率为19.2:1000活产。致命畸形占胎儿死亡的116例（21.1%）。在其余432例死亡中，214例（49.5%）发生在产前，71例（16.5%）发生在分娩时，147例（34%）发生在分娩后第一周内。在正常发育的婴儿中，低出生体重是最常见的死亡原因（29%），其次是孕产妇疾病的后果（14.8%）。17.3%的成熟婴儿死亡原因不明。未登记的患者占围产期死亡总数的72%。
结论
当所有女性开始重视孕前咨询并前往产前诊所就诊时，围产期死亡率有可能降低。
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