Pediatrics Department, Medical College, Diyala University Hospital, Baqouba, Diyala, Iraq.
J Trop Pediatr. 2011 Aug;57(4):280-2. doi: 10.1093/tropej/fmq085. Epub 2010 Sep 28.
To measure birth weight-specific mortality rates in the Diyala Province of Iraq and to determine if the causes of neonatal death could identify interventions needed to reduce neonatal mortality rates.
We retrospectively compared the outcome of 196 neonates with birth weight 500-2499 g admitted in 2003 with 252 such neonates admitted in 2009.
The mortality rate in very low birth weight infant (VLBWI) increased from 12/80 (15%) in 2003 to 51/152 (33.6%) in 2009, (p = 0.003). In LBWI, 10/116 (8.6%) died in 2003 compared to 33/152 (13%) in 2009 (p = 0.29). Sepsis accounted for 35.2% of deaths in VLBWI and 39% in LBWI, Perinatal depression explained 39.2% of deaths in VLBWI and 24.2% in LBWI.
The VLBWI mortality in the Diyala province of Iraq doubled in the last 6 years reaching 33.6% in 2009, LBWI mortality increased by 50% reaching 13%. Sepsis and perinatal depression accounted for at least two-third of the deaths.
测量伊拉克迪亚拉省特定出生体重的死亡率,并确定新生儿死亡的原因是否能确定需要采取哪些干预措施来降低新生儿死亡率。
我们回顾性比较了 2003 年 196 名出生体重为 500-2499 克的新生儿和 2009 年 252 名此类新生儿的结局。
极低出生体重儿(VLBWI)的死亡率从 2003 年的 12/80(15%)增加到 2009 年的 51/152(33.6%)(p=0.003)。在 LBWI 中,2003 年有 10/116(8.6%)死亡,而 2009 年有 33/152(13%)死亡(p=0.29)。败血症占 VLBWI 死亡的 35.2%,占 LBWI 死亡的 39%,围产期抑郁占 VLBWI 死亡的 39.2%,占 LBWI 死亡的 24.2%。
伊拉克迪亚拉省的极低出生体重儿死亡率在过去 6 年中翻了一番,2009 年达到 33.6%,LBWI 死亡率增加了 50%,达到 13%。败血症和围产期抑郁至少占死亡人数的三分之二。