Dawodu A, Varady E, Verghese M, al-Gazali L I
Department of Paediatrics, Faculty of Medicine and Health Sciences, United Arab Emirates University, Al-Ain, United Arab Emirates.
East Mediterr Health J. 2000 Jan;6(1):55-64.
We aimed to determine whether birth-weight-specific mortality rates and causes of neonatal death could identify interventions needed to reduce neonatal mortality rates. Data were collected from three hospitals responsible for 99% of births in Al-Ain Medical District. There were 8083 live births weighing > or = 500 g, of which 54 (0.67%) died. The mortality rate among very low-birth-weight infants was higher in this district than from centres with more advanced neonatal technology and resources. Problems of preterm births, lethal malformations and asphyxia accounted for 95% of deaths and half of the malformations were autosomal recessive syndromes. Improved management of lower-birth-weight infants, asphyxia and genetic counselling could lead to a further decline in neonatal mortality rates.
我们旨在确定特定出生体重的死亡率和新生儿死亡原因是否能够明确降低新生儿死亡率所需的干预措施。数据收集自艾因医疗区负责99%分娩的三家医院。共有8083例出生体重≥500克的活产婴儿，其中54例（0.67%）死亡。该地区极低出生体重婴儿的死亡率高于拥有更先进新生儿技术和资源的中心。早产、致命畸形和窒息问题占死亡原因的95%，且一半的畸形为常染色体隐性综合征。改善低出生体重婴儿的管理、窒息情况以及遗传咨询可能会进一步降低新生儿死亡率。
