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Trends in live births in the past 20 years in Zhengzhou, China

Artikel i vetenskaplig tidskrift
Författare W Han
JA Song
AQ Liu
KM Huo
FL Xu
SH Cui
Xiaoyang Wang
CL Zhu
Publicerad i ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA
Volym 90
Nummer/häfte 4
Sidor 332-337
ISSN 0001-6349
Publiceringsår 2011
Publicerad vid Institutionen för neurovetenskap och fysiologi, sektionen för fysiologi
Sidor 332-337
Språk en
Länkar dx.doi.org/10.1111/j.1600-0412.2010...
Ämnesord asphyxia, cesarean, neonatal death, preterm birth, risk factor
Ämneskategorier Pediatrik

Sammanfattning

Abstract: Objective. To evaluate changing trends in neonatal births and deaths in a provincial women's and children's hospital over the past 20 years. Design: Retrospective longitudinal study. Setting. Henan Provincial Women's and Children's Hospital, China. Population. Live births in Henan Provincial Women's and Children's Hospital from January 1987 to December 2006. Methods: Data was stratified by sex, birth weight, delivery type, maternal age, gestational age, and single or multiple births. The incidence of low Apgar scores and neonatal death was calculated for each fiscal year. Main outcome measures: Trends in the fundamental status of hospital-born live births and risk factors for neonatal death. Results. 26 760 hospital live births were included. The ratio of males to females was 1.16:1. The mean gestational age decreased from 39.5 +/- 1.4 weeks to 38.4 +/- 2.5 weeks (p<0.001) and multiple births increased from 1.5 to 7.3% (p<0.001). The proportion of preterm births increased from 4.7 to 18.9% (p<0.001), maternal age increased from 25.9 +/- 3.7 years to 29.0 +/- 4.4 years (p<0.001), and cesarean deliveries increased from 23.7 to 65.5% (p<0.001). The incidence of low Apgar scores decreased from 12.9 to 1.1% (p<0.001). The incidence of neonatal death was 8.5/1 000 live births, with preterm births and low Apgar scores accounting for 72.8 and 16.2% of all neonatal deaths, respectively. Conclusion. Preterm births, multiple births, and cesarean deliveries increased dramatically. Preterm birth is the leading cause of neonatal death.

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