Torres-Ruvalcava A B, Ramírez-Andrade F, Azuara-Bustamante J, Torres-Montes A, García-Reyes J, Lima de Canseco V, López-Rodríguez F, Berrones-Guerrero M, Escalante-Padrón F, Pérez-Arocha N
Servicio de Medicina Preventiva, Facultad de Medicina, Universidad Autónoma de San Luis Potosí, México.
Bol Med Hosp Infant Mex. 1990 Aug;47(8):543-50.
Through participation of ten hospital institutions in the city of San Luis Potosí, which systematically take care of newborns, the present collaborative study was performed; this includes all births during the period from january 1st. to december 31st., 1988. The births taken place at home and other sites such as the "Hospital Materno Infantil" during the last six months, were excluded from the study; they accounted approximately 10%. We registered 17,092 births including 204 mortinates. Based on the upper data, the following chart is given, stating weight as well as gestation rates. Precocious fetal mortality (500 to 999 g)--391.30 by thousand; Precocious fetal mortality (20 to 27 weeks)--140.40 by thousand; Late fetal mortality (1,000 g or more)--9.25 by thousand; Late fetal mortality (28 weeks or more)--9.89 by thousand; Hebdomadal mortality (500 to 999 g)--571.40 by thousand; Hebdomadal mortality (20 to 27 weeks)--159.40 by thousand; Hebdomadal mortality (1,000 g or more)--11.96 by thousand; Hebdomadal mortality (28 weeks or more)--12.62 by thousand; Perinatal mortality (1,000 g or more)--21.10 by thousand; Perinatal mortality (28 weeks or more)--22.38 by thousand. The IMSS sent for registration 8,710 births which accounted 51% of the total. Their data revealed the highest values in all rates. In precocious fetal mortality (products between 20 and 27 weeks), the rate value was 543.9 against 140.4 globally counted. Hebdomadal mortality for this 20 to 27 weeks group showed 730.8 against 159.4 globally reported. In 199 out the 204 mortinates, cause of death was registered; 49.7% of these causes was reported as placental circulation insufficiency and 17.1% as major congenital abnormalities.(ABSTRACT TRUNCATED AT 250 WORDS)
通过圣路易斯波托西市十个系统照料新生儿的医院机构的参与,开展了本协作研究;研究涵盖了1988年1月1日至12月31日期间的所有分娩情况。研究排除了过去六个月在家中及其他场所(如“妇幼医院”)发生的分娩;这些分娩约占总数的10%。我们记录了17,092例分娩,其中包括204例死产。根据上述数据,给出了以下图表,列出了体重及孕周率。早产胎儿死亡率(500至999克)——每千例中有391.30例;早产胎儿死亡率(20至27周)——每千例中有140.40例;晚期胎儿死亡率(1000克及以上)——每千例中有9.25例;晚期胎儿死亡率(28周及以上)——每千例中有9.89例;每周死亡率(500至999克)——每千例中有571.40例;每周死亡率(20至27周)——每千例中有159.40例;每周死亡率(1000克及以上)——每千例中有11.96例;每周死亡率(28周及以上)——每千例中有12.62例;围产期死亡率(1000克及以上)——每千例中有21.10例;围产期死亡率(28周及以上)——每千例中有22.38例。墨西哥社会保险局送来登记的分娩有8710例,占总数的51%。其数据显示所有比率中的数值最高。在早产胎儿死亡率(20至27周的产物)方面,比率值为543.9,而总体统计为140.4。该20至27周组的每周死亡率显示为730.8,而总体报告为159.4。在204例死产中有199例登记了死亡原因;其中49.7%的原因报告为胎盘循环不足,17.1%为主要先天性异常。(摘要截取自250字)