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目的分析流动人口围产儿死亡原因,为制定流动人口孕产妇保健管理模式提供依据。方法采用回顾性调查方法,取江北区2004年10月～2009年9月围产儿死亡病例及评审资料进行分析,对江北区流动人口与常住人口围产儿死亡情况进行统计比较。结果 该期间流动人口围产儿死亡率39.57‰,江北区户籍围产儿死亡率5.77‰,两类人群的死亡率差异有统计学意义(χ2=164.47,P<0.05)。围产儿死亡评审结果,可避免和创造条件可避免的流动人口围产儿死亡明显高于常住人口的围产儿死亡。结论江北区流动人口围产儿死亡率显著高于常住人口的围产儿死亡率,流动人口围产儿死亡率逐年下降,但不明显。流动人口孕妇孕期保健覆盖率低。制定相应措施,加强流动人口孕期保健管理和健康宣教,提高孕妇的自我保健意识和自我监测能力,向贫困流动人口孕妇提供基本的免费孕期保健服务,是降低围产儿死亡的有效措施。
Objective To analyze the causes of perinatal death among floating population and provide basis for formulating maternal health management model for floating population. Methods The retrospective survey method was used to analyze the perinatal deaths and accreditation data of Jiangbei District from October 2004 to September 2009, and to compare the deaths of perinatal children between floating population and permanent population in Jiangbei District. Results During this period, the perinatal mortality rate of floating population was 39.57 ‰, while that of Jiangbei District was 5.77 ‰. There was significant difference in mortality rate between the two groups (χ2 = 164.47, P <0.05). Perinatal mortality assessment results, avoidable and create conditions Avoidable migrants’ perinatal mortality is significantly higher than that of the resident population. Conclusions The perinatal mortality rate of floating population in Jiangbei District is significantly higher than that of the resident population. The perinatal mortality rate of floating population is decreasing year by year, but it is not obvious. Migrant pregnant women pregnant pregnancy coverage is low. To formulate appropriate measures to strengthen the health management and health education during pregnancy, improve the self-care awareness and self-monitoring ability of pregnant women, and provide basic free pregnancy health services to the pregnant women living in poverty, is an effective measure to reduce perinatal death.