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Wysłany: Sob 21:50, 26 Mar 2011 Temat postu: Mbt Schuhe Günstig 129 cases of perinatal causes |
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129 cases of perinatal causes of death of children
The level of pediatric medical students and an important indicator of good or bad quality of medical care. Perinatal health in children is currently more advanced in the Nordic countries like Sweden in 1983, perinatal mortality in children, which amounts to about 7 ‰ in 1997, children in Japan perinatal mortality rate was 5 ‰ _1J. Children of perinatal mortality in developed areas has been reduced to 109'oo around, but most areas are still 20% o ~ 30% o, poverty-stricken areas of up to 50% oJ. Children in our hospital perinatal mortality rate was 22.95% o. This may be the relative concentration of high-risk groups in our hospital, serious condition related. Some pregnant women to the hospital occurs when the umbilical cord prolapse, shoulder dystocia, uterine rupture, causing irreparable perinatal child death; also some pregnant women were identified before 28 weeks gestation fetal malformations, due to lack of health knowledge, failure to terminate the pregnancy,[link widoczny dla zalogowanych], delay to the perinatal induction of labor, increased perinatal mortality in children; In addition, the flow of population increase, not on a regular basis prenatal care, early detection of abnormal processing, also contributed to the high perinatal mortality of one of the reasons children. Therefore, we must establish and improve the standardization of perinatal care and obstetric management system,[link widoczny dla zalogowanych], strengthening antenatal high-risk pregnancy care management, and correctly handle the production process, strengthen the monitoring of labor and reduce the incidence of perinatal asphyxia rate. The floating population of pregnant women should be strengthened role of Lot's Health Network, urging them to regular inspections to reduce perinatal child mortality. 3.2 Prevention of early neonatal death in preterm premature main result of the original 873 *. This article 4O neonatal death cases, including 31 cases of premature delivery, accounting for 77.5% of neonatal deaths. Analysis of 31 cases in this group the reason for the premature rupture of membranes, multiple pregnancy, placenta previa, placental abruption, preeclampsia, pregnancy complicated by heart, ICP, polyhydramnios and so on. The main cause of death in preterm children as lung disease, such as hyaline membrane disease, pulmonary amniotic fluid aspiration, aspiration pneumonia, pulmonary hemorrhage, atelectasis. Followed by deformed children, hypoxia syndrome. Prevention of premature children is to reduce the perinatal mortality rate is one important measure, regular prenatal care, guidance during pregnancy and health, the factors that may cause premature delivery should be full attention. Strengthen the management of high-risk pregnancy, active treatment during pregnancy (complication) disease, prevent premature rupture of membranes, prevention of subclinical infection. Premature by the inevitable, can be applied to promote fetal lung maturation with dexamethasone to prevent neonatal respiratory distress syndrome (RDS). Commonly used method is: Dexamethasone 10mg, intravenous injection, day 1 for 2 ~ 3 times, or dexamethasone 6mg, intramuscular injection, 2 times a day, a total of 2d. Time to preventive treatment of premature birth in the fetus that should do the rescue work, the early diagnosis of neonatal RDS, to take early treatment. Whenever the clinical diagnosis of RDS is foreign recommend routine neonatal prophylactic treatment of lung surfactant - a 3, there are many units in the domestic application of this therapy. In addition, strengthening capacity, pediatric cooperation will help reduce perinatal mortality in children. 3.3 reduce perinatal malformations malformations in this group, 27.1% (35/129) for the second of perinatal cause of child death. Congenital malformations and the physical,[link widoczny dla zalogowanych], chemical, biological, environmental factors and genetic factors that promote abnormal factor infection. The greatest impact, especially in the early embryo. Therefore, to enhance pre-pregnancy missionary couple should guide their child-bearing age to choose the best, the best time for conception, pregnancy best environment, best mood when the pregnancy,[link widoczny dla zalogowanych], as pregnant women, living environment, nutrition, behavior, mood changes and mental state on fetal development have some impact, it must do before pregnancy, pregnancy for the couple to avoid the negative stimulus. Such as tobacco, alcohol and exposure to hazardous substances banned to avoid polluting the environment, create favorable conditions for the conception. To promote high-risk pregnant women in the early and mid-prenatal diagnosis, prenatal consultation, B-ultrasound, maternal serum alpha-fetoprotein determination, chromosome examination, early detection of deformity, for in the early and mid-term termination of pregnancy to prevent perinatal abnormalities the occurrence of children, reducing child mortality in perinatal will play a role.
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