摘要目的：分析导致胎儿宫内死亡的相关因素，寻找有效的干预措施。方法回顾性分析84例胎死宫内孕妇的临床资料并进行统计分析。结果84例患者中，妊娠合并症21例，羊水过少2例，巨大儿2例（头盆不称、产程长、胎儿窘迫），球拍状胎盘1例，羊水过多4例，胎儿生长受限1例，脐带异常50例（绕颈和扭转为主，占35例），胎盘钙化、早剥1例，不明原因2例。结论导致胎死宫内的主要原因是妊娠并发症和脐带的异常。应早期诊断、及时纠正或适时终止妊娠，以有效预防妊娠晚期胎儿宫内死亡的发生。

abstractsObjective To analyze the factors related to the fetal death and to find the effective interventions. Methods 84 women with fetal death were recruited.Clinical data were collected and analyzed based on the retro-spective method.Results Among the 84 women,21 women with pregnancy complications,2 women delivered fetal macrosomia,2 women with oligohydramnios,4 women with polyhydramnios,50 women with abnormal umbilical cord, 1 woman with fetal growth restriction,1 woman with racket -shaped placenta,2 women with unknown causes,and 1 woman with placental calcification.Conclusion The main cause of fetal death was pregnancy complications and umbilical cord abnormalities.The early diagnosis,promptly correct,and timely termination of pregnancy will be the effective interventions to prevent the development of the fetal death.