Andriamady R C, Rasamoelisoa J M, Rakotonoel H, Ravaonarivo H, Ranjalahy R J, Razanamparany M
Hôpital général de Befelatanana, Centre Hospitalier Universitaire d'Antananarivo, BP 14 bis, 101 Antananarivo, Madagascar.
Arch Inst Pasteur Madagascar. 1999;65(1-2):93-5.
Preterm deliveries (PT) produce new-borns whose prognosis is generally very dark. Prematurity is the first cause of neonatal death. A retrospective study was carried out at the Maternity Hospital of Befelatanana, Antananarivo in order to specify causes and difficulties of PT and to draw up strategy for their better management so that premature infants have chance to survive. The survey concerned 1394 patients: all pregnancies whose gestational age are between 22 and 36 weeks and those who delivery viable infants discharged home whose weights are between 500 and 2,500 grams. PT occur frequently among teenagers and more than 35-year old women. Risk factors and determinative causes of PT are mothers' toxic habits, gyneco-obstetrical history as PT, abortion, cicatricial uterus, urogenital infections. 12 maternal deaths were noted. Infant perinatal mortality rate was of 47.3 per cent. The authors conclude that difficulties were in labor and both antepartum and intrapartum periods. Preventive measures must surpass curative therapy. They will be based on the improvement of standard of living, the reinforcement of planning family and a strict pregnancy surveillance.
早产会产出预后通常非常严峻的新生儿。早产是新生儿死亡的首要原因。在塔那那利佛的贝费拉塔纳纳妇产医院开展了一项回顾性研究，以明确早产的原因和难点，并制定更好的管理策略，使早产儿有存活的机会。该调查涉及1394名患者：所有孕周在22至36周之间的孕妇，以及那些分娩出体重在500至2500克之间、可存活并出院回家的婴儿的孕妇。早产在青少年和35岁以上女性中频繁发生。早产的风险因素和决定性原因包括母亲的不良嗜好、既往早产史、流产史、瘢痕子宫、泌尿生殖系统感染。记录到12例孕产妇死亡。婴儿围产期死亡率为47.3%。作者得出结论，分娩过程以及产前和产时都存在困难。预防措施必须优于治疗方法。这些措施将基于生活水平的提高、计划生育的加强以及严格的孕期监测。
