提高南非新生儿的存活率。
Improving survival rates of newborn infants in South Africa.
作者信息
Pattinson Robert, Woods David, Greenfield David, Velaphi Sithembiso
机构信息
Department of Obstetrics and Gynaecology, University of Pretoria, Pretoria, South Africa.
出版信息
Reprod Health. 2005 Aug 11;2:4. doi: 10.1186/1742-4755-2-4.
BACKGROUND
The number, rates and causes of early neonatal deaths in South Africa were not known. Neither had modifiable factors associated with these deaths been previously documented. An audit of live born infants who died in the first week of life in the public service could help in planning strategies to reduce the early neonatal mortality rate.
METHODS
The number of live born infants weighing 1000 g or more, the number of these infants who die in the first week of life, the primary and final causes of these deaths, and the modifiable factors associated with them were collected over four years from 102 sites in South Africa as part of the Perinatal Problem Identification Programme.
RESULTS
The rate of death in the first week of life for infants weighing 1000 g or more was unacceptably high (8.7/1000), especially in rural areas (10.42/1000). Intrapartum hypoxia and preterm delivery are the main causes of death. Common modifiable factors included inadequate staffing and facilities, poor care in labour, poor neonatal resuscitation and basic care, and difficulties for patients in accessing health care.
CONCLUSION
Practical, affordable and effective steps can be taken to reduce the number of infants who die in the first week of life in South Africa. These could also be implemented in other under resourced countries.
背景
南非早期新生儿死亡的数量、比率及原因尚不明确。此前也未记录与这些死亡相关的可改变因素。对在公共服务机构中出生后第一周内死亡的活产婴儿进行审核，有助于制定降低早期新生儿死亡率的策略。
方法
作为围产期问题识别项目的一部分，在四年时间里从南非的102个地点收集了体重1000克及以上的活产婴儿数量、这些婴儿在出生后第一周内死亡的数量、这些死亡的主要及最终原因，以及与之相关的可改变因素。
结果
体重1000克及以上婴儿在出生后第一周的死亡率高得令人无法接受（8.7/1000），尤其是在农村地区（10.42/1000）。产时缺氧和早产是主要死因。常见的可改变因素包括人员配备和设施不足、分娩护理不佳、新生儿复苏和基本护理不到位，以及患者获得医疗服务困难。
结论
可以采取切实可行、经济实惠且有效的措施来减少南非出生后第一周内死亡的婴儿数量。这些措施也可在其他资源匮乏的国家实施。
Zotero 插件