Saúde da Criança e do Adolescente, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
J Pediatr (Rio J). 2010 Jul-Aug;86(4):295-302. doi: 10.2223/JPED.2004.
To compare perinatal health indicators in a referral hospital in Belo Horizonte, Brazil.
Perinatal results and indicators of single live births in Hospital das Clínicas of Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil, were compared for two periods, 1995-1998 and 2003-2006. The chi-square test and Student's t test were applied with 5% significance level and 95% confidence interval. Data were obtained from the Perinatal Information System (Sistema Informático Perinatal, SIP), Latin American Center for Perinatology (Centro Latinoamericano de Perinatología, CLAP), Pan American Health Organization (PAHO), Hospital das Clínicas, and from medical records.
Mothers were approximately 26 years old on average. The number of prenatal appointments had an average increase of one appointment, regardless of birth weight, and there was a significant decrease in the number of caesarean deliveries in the second period. The average gestational age was 38 weeks in both periods, with a high rate of premature births (17.0 and 16.7%, respectively). The rate of newborns < 2,500 g was high in both periods (17.6 and 16.6%, respectively) with a decrease in the rate of newborns considered small for their gestational age. When congenital malformations were excluded, early neonatal mortality risk decreased from 12.4 per 1,000 live births in the first period to 8.0 per 1,000 live births in the second period, with considerable decrease for newborns with gestational age < 34 weeks.
Important differences were verified concerning health care assistance procedures and perinatal results, and they are compatible with the global improvement in neonatal health observed in the 2003-2006 period. However, the persistence of unfortunate neonatal incidents that can be reduced with the use of available perinatal technologies reveals the need for constant monitoring of perinatal hospital care for all groups of newborns.
比较巴西贝洛奥里藏特市一家转诊医院的围产健康指标。
比较了巴西米纳斯吉拉斯联邦大学（UFMG）贝洛奥里藏特临床医院（Hospital das Clínicas）两个时期（1995-1998 年和 2003-2006 年）的围产儿结局和单活产的围产健康指标。采用卡方检验和学生 t 检验，显著性水平为 5%，置信区间为 95%。数据来源于围产信息系统（Sistema Informático Perinatal，SIP）、拉丁美洲围产医学中心（Centro Latinoamericano de Perinatología，CLAP）、泛美卫生组织（Pan American Health Organization，PAHO）、临床医院以及病历。
母亲的平均年龄约为 26 岁。无论出生体重如何，产前检查次数平均增加一次，第二时期剖宫产率显著下降。两个时期的平均胎龄均为 38 周，早产率较高（分别为 17.0%和 16.7%）。两个时期新生儿体重<2500g 的比例均较高（分别为 17.6%和 16.6%），但出生体重小于胎龄儿的比例有所下降。排除先天性畸形后，第一时期每 1000 例活产中早期新生儿死亡率为 12.4 例，第二时期降至 8.0 例，胎龄<34 周的新生儿死亡率显著下降。
医疗保健措施和围产儿结局方面存在重要差异，这些差异与 2003-2006 年期间全球新生儿健康状况的改善相一致。然而，不幸的新生儿事件仍然存在，这些事件可以通过使用现有的围产技术来减少，这表明需要对所有新生儿群体的围产医院护理进行持续监测。
