Hoyert D L
Centers for Disease Control and Prevention, National Center for Health Statistics, Hyattsville, Maryland, USA.
Vital Health Stat 20. 1996 Aug(31):1-32.
This report presents fetal mortality data by medical and life-style risk factors of the mother and the fetus.
Deaths and fetal mortality rates are presented in this descriptive report. Data sources used are vital statistics data for fetal deaths and live births.
The data that became available with the revision of the U.S. Standard Report of Fetal Death in 1989 expanded the medical and health data available on mothers and fetuses. Reporting of medical conditions is probably incomplete for fetal deaths as well as for live births. Therefore, caution should be exercised in using this data. Reported occurrences of medical and life-style risk factors of mother and fetus for fetal deaths and live births and fetal mortality rates are presented. Maternal medical conditions most often associated with having a fetal death were problems with amniotic fluid levels and blood disorders. Fetal mortality was 35 percent greater when tobacco was used during pregnancy and 77 percent higher when alcohol was consumed during pregnancy. The complication of labor most often associated with fetal mortality was abruptio placenta. Although a very small proportion of all deliveries have specific congenital anomalies reported, fetal mortality was close to 50 percent for anencephalus, about 25 percent for renal agenesis, and slightly more than 20 percent for hydrocephalus.
本报告按母亲和胎儿的医学及生活方式风险因素呈现胎儿死亡率数据。
本描述性报告展示了死亡情况和胎儿死亡率。所使用的数据来源是胎儿死亡和活产的生命统计数据。
1989年美国胎儿死亡标准报告修订后可得的数据扩展了关于母亲和胎儿的医学与健康数据。对于胎儿死亡以及活产，医疗状况的报告可能并不完整。因此，在使用这些数据时应谨慎。报告了胎儿死亡和活产中母亲及胎儿的医学和生活方式风险因素的发生情况以及胎儿死亡率。与胎儿死亡最常相关的母亲医疗状况是羊水水平问题和血液疾病。孕期吸烟时胎儿死亡率高出35%，孕期饮酒时高出77%。与胎儿死亡率最常相关的分娩并发症是胎盘早剥。尽管在所有分娩中报告有特定先天性异常的比例非常小，但无脑儿的胎儿死亡率接近50%，肾缺如约为25%，脑积水略高于20%。
