背景人口把流行病的学习基于主要疾病和在中国少见的 liveborn 出生不满一月的婴儿遗体的出生地位,特别在很多出生不满一月的婴儿出生的农村区域。这研究的目的是在 Julu 县建立实时出生的一个流行病学的基础,中国的北、中间西方的部分的一个代表以人口统计学,疾病模式和女人和孩子是护理 infrastructure.Methods 所有实时出生的 perinatal 数据有希望地在三参与被收集到在那里的2008年8月30日 .Results 的从2007年9月1日的县级的医院是这些医院里的 5822 实时出生。在所有实时出生之中, 53.7% 是男性的, 4.5% bornprematurely 是。平均数(SD ) 出生重量(BW ) 是(3348 硥
Background Population based epidemiologic study on the main diseases and birth status of liveborn neonates remains scarce in China, especially in rural areas where a large number of neonates are born. The aim of this study was to establish an epidemiological basis of live births in Julu County, a representative of the northern and mid-western parts of China in terms of demography, disease pattern and women and children's health care infrastructure.Methods The perinatal data of all live births were prospectively collected in three participating county-level hospitals from September 1, 2007 to August 30, 2008.Results There were 5822 live births in these hospitals. Among all live births, 53.7% were male and 4.5% were bornprematurely. Mean (SD) birth weight (BW) was (3348±503) g. The low (〈2500 g) and very low BW (〈1500 g) infants accounted for 3.8% and 0.5% of the total births, with 6.5% as small for gestational age and 2.8% as multi-births.Cesarean section rate was 30.2%, of which 68.6% were elective. There were 745 infants (12.8% of the live births)admitted to local neonatal wards within 7 days of postnatal life, in which 48.3% and 19.3% were due to perinatal asphyxia and prematurity, respectively. The incidences of perinatal aspiration syndrome, transient tachypnea and respiratory distress syndrome were 4.9%, 0.6% and 0.5%, respectively. Neonatal mortality was 7.6%. (44/5822), with 16 in delivery room and 28 in neonatal ward before discharge.Conclusions This study provided a population-based perinatal data of live births and neonatal mortality in a northern China county with limited resources. Neonatal disorders related to perinatal asphyxia remain a serious clinical problem,which calls for sustained education of advanced neonatal resuscitation and improvement in the quality of perinatal-neonatal care.