目的了解北京市西城区围产儿死亡率及相关因素,针对这些因素制定相应的措施,进一步降低围产儿死亡率。方法根据2010年10月-2011年9月西城区助产机构发生的围产儿死亡临床资料及院内、区级评审结果,进行回顾性分析。结果围产儿死亡总数67例,死亡率为6.76‰,出生缺陷、妊娠期高血压、早产是造成围产儿死亡的主要原因。结论可避免死亡0例,创造条件可避免死亡22例,不可避免死亡45例。 Objective To understand the perinatal mortality rate and its related factors in Xicheng District of Beijing and to establish corresponding measures according to these factors so as to further reduce the perinatal mortality rate. Methods Based on the clinical data of perinatal deaths and the results of hospital and district-level accreditation of the midwives in Xicheng District from October 2010 to September 2011, retrospective analysis was conducted. Results The total number of perinatal deaths in 67 cases, the mortality rate was 6.76 ‰, birth defects, gestational hypertension, preterm birth is the main cause of perinatal death. Conclusion 0 cases can be avoided, 22 cases can be avoided and 45 cases inevitable death.