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A 12-month prospective survey of perinatal outcome of liveborn neonates in Julu County, China
  • ISSN号:0366-6999
  • 期刊名称:《中华医学杂志:英文版》
  • 时间:0
  • 分类:S823.91[农业科学—畜牧学;农业科学—畜牧兽医] Q581[生物学—生物化学]
  • 作者机构:[1]Department of Pediatrics,Children's Hospital of Fudan University,Shanghai 201012,China, [2]Department of Neonatology,Hebei Provincial Children's Hospital,Shijiazhuang,Hebei 050031,China, [3]Departments of Obstetrics and Pediatrics,Julu County Hospital,Julu,Hebei 055250,China, [4]Departments of Obstetrics and Pediatrics,Julu Women and Children's Health Center,Julu,Hebei 055250,China, [5]Julu County Hospital for Traditional Chinese Medicine,Julu,Hebei 055250,China, [6]Department of Statistics,Hebei Medical University,Shijiazhuang,Hebei 050000,China
  • 相关基金:This study was supported by grants from China Medical Board of New York (No. 03-786), China-Canada Joint Health Research Program (No. NSFC-CIHR or No. 30611120518), and the Program for Outstanding Medical Science Leader (No. LJ06038),Shanghai Municipal Department of Health. The authors are grateful to the staffs of the participating departments and hospitals for their help in data collection and supplementation. We also thank Dr. YANG Ya-li, CHANG Zhi-xia of Hebei Provincial Children's Hospital for their assistance in data entry. We thank Dr. Zhang Hua-yan (Neonatology, Children's Hospital of Philadelphia, PA, USA) for her careful reading and correction of the manuscript.
中文摘要:

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

英文摘要:

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.

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期刊信息
  • 《中华医学杂志:英文版》
  • 中国科技核心期刊
  • 主管单位:中国科协
  • 主办单位:中华医学会
  • 主编:
  • 地址:北京东四西大街四十二号
  • 邮编:100710
  • 邮箱:cmj@cma.org.cn
  • 电话:010-85158321
  • 国际标准刊号:ISSN:0366-6999
  • 国内统一刊号:ISSN:11-2154/R
  • 邮发代号:2-920
  • 获奖情况:
  • 1997、1998、1999年获中国科协优秀科技期刊择优资...,1992、1997年连续两年荣获全国优秀科技期刊和中国...,中国期刊方阵双高期刊
  • 国内外数据库收录:
  • 美国化学文摘(网络版),英国农业与生物科学研究中心文摘,荷兰文摘与引文数据库,荷兰医学文摘,美国生物医学检索系统,美国科学引文索引(扩展库),美国生物科学数据库,日本日本科学技术振兴机构数据库,中国中国科技核心期刊
  • 被引量:3319