死胎的病因及终止妊娠的方式分析

目的：探讨死胎的病因及终止妊娠的方式。方法：收集我院住院分娩的死胎病例23 例，对孕妇一般资料、死胎发生原因、终 止妊娠方式进行统计分析。结果：①死胎发生孕妇中，年龄＞36 岁者最多，共8 例，占34.8%，孕周在28-36+6 周的孕妇数最多，共 10 例，占43.5%，初产妇17 例，占73.9%，有流产史孕妇9 例，占39.1%；②在所有病因中，脐带因素占比最大，共11 例，占47.8%， 其次为胎盘因素和母体因素，各5 例，各占21.7%，胎儿原因与不明原因各2 例，各占8.7%；③在对终止妊娠方式的选择上，施行 羊膜腔穿刺引产例数最多，共13 例，占56.5%，其次为剖宫产，共5 例，占21.7%，米索流产3 例，占13.0%，自娩患者2 例，占 8.7%。结论：脐带因素为造成死胎发生的主要原因，其次为胎盘因素及母体因素，应对孕妇进行全面的孕期检查及孕期健康教育， 以减少死胎的发生，并选择合适的终止妊娠方式以减轻孕妇痛苦。

Analysis of the Causes of Stillbirth and the Terminationmethod of Pregnancy

Objective:To investigate the causes of stillbirth and the termination of pregnancy.Methods:23 fetal death cases from our hospital were selected. The general information, causes of stillbirth in pregnant women and termination of pregnancy were analysis.Results:Stillbirth in pregnant women, older than 36 years were the most, a total of 8 cases, accounting for 34.8%. The number of pregnant women at 28-36+6 weeks of gestation was the most, and there were 10 cases, accounting for 43.5%. At the beginning of 17 women, accounting for 73.9%. There were 9 cases of pregnant women with miscarriage, accounting for 39.1%. Among all the causes, the proportion of umbilical cord was the largest, and there were 11 cases, accounting for 47.8%. Placenta and maternal factors, 5 cases, each accounted for 21.7%, 2 cases of fetal cause and unknown reasons, each accounted for 8.7%. On the choice of termination of pregnancy, the implementation of the amniotic cavity puncture of the number of cases, a total of 13 cases, accounting for 56.5%. Cesarean section, a total of 5 cases, accounting for 21.7%, accounting for 13% of the 3 cases of abortion, childbirth, from 2 patients, accounting for 8.7%.Conclusion:umbilical cord factors is the main reason causing stillbirths occur. Secondly, placenta and maternal factors, pregnant women with were comprehensive examination during pregnancy and maternal health education, in order to reduce fetal death, and choose the suitable method of pregnancy termination in order to alleviate the pain of pregnant women.