Analysis of surveillance for 1 297 neonatal deaths in Chongqing from year 2005 to 2008.

Objective To analyze the causes of neonatal death and to propose protective measures to reduce neonatal mortality.Methods The registered data of 1 297 neonatal death cases in Chongqing from year 2005 to 2008 were analyzed with death causes analysis method.Results The neonatal mortality reduced year by year.Neonatal mortality in rural area was higher than that in urban area.Similarly,the inferior hospital had lower survival rate.The main causes of neonatal death were neonatal asphyxia,prematurity,low birth weight infant,congenital malformation,pneumonia and accidental death.The proportion of neonatal asphyxia decreased a little and the rate of congenital malformation increased with year.Conclusion Effective and sufficient policy and action such as prenatal screening,perinatal care,strengthening the building of obstetrics and pediatrics and training in neonatal cardiopulmonary resuscitation should be built up to reduce the neonatal mortality.