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莫尔斯比港的贫血与围产期结局

Anaemia and perinatal outcome in Port Moresby.

作者信息

Mola G, Permezel M, Amoa A B, Klufio C A

机构信息

Department of Obstetrics and Gynaecology, University of Papua New Guinea, Port Moresby, New Guinea.

出版信息

Aust N Z J Obstet Gynaecol. 1999 Feb;39(1):31-4. doi: 10.1111/j.1479-828x.1999.tb03439.x.

DOI:10.1111/j.1479-828x.1999.tb03439.x
PMID:10099745
Abstract

In 1987, a computerized obstetric database was set up at the Port Moresby General Hospital. Between 1987 and 1992, 27,117 births took place. The mean haemoglobin value amongst the 83% of women in whom a haemoglobin value was tested was 10.0 +/- 1.7 g/dL. High stillbirth rates (94 per 1,000) were associated with a haemoglobin value < 6 g/dL. The stillbirth rate was slightly lower (14 per 1,000) in woman whose lowest haemoglobin value was in the range 10.0-10.9 g/dL than in those with a haemoglobin value > or = 11 g/dL (18 per 1,000). The stillbirth rate was increased in women with haemoglobin values > or = 14.0 g/dL. With respect to low birth-weight (< 2,500 g), the rates were also higher when the haemoglobin value was above 14.0 g/dL. The reason for these findings is not apparent and may be due to the impact of an uncharacterized confounding variable rather than the haemoglobin value.

摘要

1987年,莫尔斯比港总医院建立了一个计算机化产科数据库。1987年至1992年间,共发生27117例分娩。在接受血红蛋白检测的83%的女性中,血红蛋白平均值为10.0±1.7g/dL。血红蛋白值<6g/dL与高死产率(每1000例94例)相关。最低血红蛋白值在10.0 - 10.9g/dL范围内的女性死产率(每1000例14例)略低于血红蛋白值≥11g/dL的女性(每1000例18例)。血红蛋白值≥14.0g/dL的女性死产率升高。关于低出生体重(<2500g),当血红蛋白值高于14.0g/dL时,发生率也更高。这些发现的原因尚不清楚,可能是由于一个未明确的混杂变量的影响,而非血红蛋白值本身。

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