Analysis of Causes of Death and Related Factors of 102 Perinatal Infants in Chongqing.
10.12116/j.issn.1004-5619.2019.01.007
- Author:
Zhi Xi YANG
1
;
Ze Hong WEI
2
;
Xing ZOU
2
;
Hua YU
2
;
Ting WANG
2
;
Yue HU
2
;
Jian Bo LI
2
;
Ren Kuan TANG
2
Author Information
1. Chongqing Population and Family Planning Science and Technology Research Institute, Key Laboratory of Birth Defects and Reproductive Health of National Health and Family Planning Commission, Chongqing Zhengding Judicial Identification Institute, Chongqing 400020, China.
2. Department of Forensic Medicine, College of Basic Medicine, Chongqing Medical University, Chongqing 400016, China.
- Publication Type:Journal Article
- Keywords:
forensic pathology;
perinatal infant;
death;
cause of death;
related factor;
Chongqing
- MeSH:
Autopsy;
Cause of Death;
Female;
Humans;
Infant;
Infant Mortality;
Pregnancy;
Retrospective Studies;
Stillbirth
- From:
Journal of Forensic Medicine
2019;35(1):39-43
- CountryChina
- Language:English
-
Abstract:
OBJECTIVES:To analyze the causes of perinatal death and related factors from the perspective of forensic medicine, and to provide references for reducing perinatal mortality and guidance for forensic identification.
METHODS:A retrospective analysis was performed on 102 cases of perinatal autopsy with clinical data from the Department of Forensic Medicine of Chongqing Medical University in 2004-2016.
RESULTS:Of the 102 cases of perinatal deaths, 66 （64.71%） were neonatal deaths, 24 （23.53%） were stillborn foetuses, and 12 （11.76%） were stillbirths. Among the 66 neonatal death cases, 39 （59.09%） died within 1 d, 19 （28.79%） died within 1-3 d, and 8 （12.12%） died within >3-7 d of birth. The top 3 causes of neonatal death were pulmonary diseases, congenital malformation, umbilical cord and placental abnormalities. The causes of stillborn foetus and stillbirth were mainly umbilical cord and placental abnormalities, and intrauterine asphyxia.
CONCLUSIONS:Pulmonary diseases, umbilical cord and placental abnormalities, and congenital malformations are the main causes of perinatal death. In order to reduce the perinatal mortality, pre-pregnancy examination and prenatal care should be strengthened, and the knowledge of pregnancy care should be popularized.
