|
|
|
| Trend of premature birth in Shaoxing from 2007 to 2018 |
| WU Changhua, ZHONG Fei
|
| Maternal and Child Health Care Hospital,Shaoxing,Zhejiang 312000,China |
|
|
|
|
Abstract Objective To explore the prevalence and trend of premature delivery in Shaoxing Maternal and Child Health Care Hospital from 2007 to 2018, so as to provide evidence for prevention of premature birth and promotion of perinatal health care. Methods The data of live births in Shaoxing Maternal and Child Health Care Hospital from 2007 to 2018 were collected,and premature birth rate,proportion of premature infants in different gestational weeks,as well as the trend of gender ratio,asphyxia and birth weight with gestational weeks were analyzed. Results From 2007 to 2018,there were 10 506 premature infants born in Shaoxing Maternal and Child Health Care Hospital. The preterm birth rate increased year by year （P<0.05）,and the annual average was 9.09%. The rate of multiple premature birth was 57.80%,which was higher than that of single premature birth （7.26%,P<0.05）. There were 110 cases of extremely preterm birth （1.05%）,2 997 cases of early preterm birth （28.53%）,and 7 399 cases of mild preterm birth （70.43%）. The proportions of extremely and early preterm birth increased year by year （P<0.05）. The asphyxia rate of premature infants was 9.70% （1 019 cases）,which decreased with the increase of gestational weeks （P<0.05）. The birth weight of premature infants decreased with the increase of gestational weeks （P<0.05）. The ratio of male to female in preterm infants was 1.22∶1,which was higher than 1.10∶1 in term infants （P<0.05）.Conclusion From 2007 to 2018,the preterm birth rate of Shaoxing Maternal and Child Health Care Hospital increased year by year,especially in extremely and early preterm birth.
|
|
Received: 05 September 2019
Revised: 19 October 2019
Published: 27 February 2020
|
|
|
|
|
|
[1] World Health Organization.Preterm birth[EB/OL].[2019-10- 19].http:// www.who.int/en/news-room/fact-sheets/detail/preterm- birth.
[2] MARTI J,HAMILTON B,OSTERMAN M. Births in the United States,2017[EB/OL].[2019-10-19]. https://www.cdc.gov/nchs/products/databriefs/db318.htm.
[3] 蒋敏,邓东锐,党静,等. 武汉同济医院10年间2 880例早产的临床分析[J]. 实用妇产科杂志,2014,30(2):115-117.
[4] 张小松,赵更力,杨慧霞,等. 15家城市医疗机构早产发生情况及影响因素分析[J]. 中华围产医学杂志,2016,19(6):456-461.
[5] 刘丹,余红. 绍兴市5岁以下儿童死亡率及死因变化分析[J].预防医学,2017,29(2):206-208.
[6] LUU T,REHMAN M,NUYT A.Long-term impact of preterm birth:neurodevelopmental and physical health outcomes[J].Clin Perinatol,2017,44(2):305.
[7] 王艳娟,潘箐,钟南,等. 早产与低出生体重儿神经心理行为发育随访研究[J]. 中华行为医学与脑科学杂志,2016,25(9):842-846.
[8] CUNNINGHAN F G,LEVENO K J,BLOOM S L,et al.Williams obstetrics[M].New York:McGraw-Hill Education,2014.
[9] 王希,康楚云,高燕秋,等. 中国3省市21家医院早产发生的相关因素及结局研究[J]. 中国生育健康杂志,2014,25(1):1-5.
[10] 蒋芳,高劲松,钟逸锋,等. 北京协和医院25年早产状况的调查[J]. 中国医学科学院学报,2016,38(5):528-533.
[11] 杨惠娟,于莹,刘凯波,等. 二胎政策放开对北京市早产儿发生率及结局的影响分析[J]. 中国妇幼保健杂志,2017,32(1):10-12.
[12] 王飞雪,丁悦虹,许凌. 浙江省孕前优生健康检查结果分析[J].预防医学,2019,31(7):742-743,747.
[13] BLENCOWE H,COUSENS S,OESTERGAARD M,et al.National,regional,and worldwide estimates of preterm birth rates in the year 2010 with time trends since 1990 for selected countries:a systematic analysis and implications[J]. Lancet,2012,379(9832):2162-2172.
[14] 周欣,殷茵,张国英,等. 2008—2012年1 466例早产回顾性分析[J].国际妇产科学杂志,2014,41(4):434-437.
[15] 朱晓连,张炜灵,张丽娟. 我市基层医院早产儿窒息相关高危因素及早期干预的多中心研究[J]. 中国医学创新,2016,13(8):79-81.
[16] 周欣,殷茵,张国英,等. 2008—2012年1 466例早产回顾性临床分析[J]. 国际妇产医学杂志,2014,41(4):434-437.
[17] 姜凯,谢琼,于凤琴. 围生期缺氧早产儿心功能变化与血清心肌肌钙蛋白的关系[J]. 贵州医药,2015,39(4):304-305.
[18] 胡媛,杜薇,白显树,等. 早产儿和窒息儿肺动脉高压时肺静脉血流频谱分析[J]. 临床与实验医学杂志,2014,13(23):1952-1954.
[19] 王芬,张海林. 鄂州市某妇保医院2010—2014年早产儿发病率及其影响因素分析[J]. 中国社会医学杂志,2016,33(3):252-255. |
|
|
|
