Bhatnagar P K
Classified Specialist (OBS & GYN), Military Hospital, Devlali.
Med J Armed Forces India. 2000 Oct;56(4):293-295. doi: 10.1016/S0377-1237(17)30211-3. Epub 2017 Jun 12.
Low birth weight neonates with 2000g or less birth weight constitute about 10% of live births with perinatal mortality as high as 32.4%. Perinatal morbidity is 19.3% with asphyxia neonatorum and neonatal jaundice heading the list. Epidemiological maternal factors include extremes of age and parity, lack of antenatal care, low socioeconomic status, illiteracy and underweight short women. Etiologic factors are obstetric complications, hypertensive disorders, systemic diseases or idiopathic. The scope of preventive measures include improvement of economic status and education about health and safe pregnancy. Proper antenatal care for early detection of high risk cases, adequate and timely management of complications and adequate facilities for neonatal care can reduce the perinatal morbidity and mortality.
出生体重在2000克及以下的低体重新生儿约占活产儿的10%,围产期死亡率高达32.4%。围产期发病率为19.3%,其中新生儿窒息和新生儿黄疸位居前列。流行病学上的母体因素包括年龄和胎次极端情况、缺乏产前护理、社会经济地位低、文盲以及身材矮小且体重不足的女性。病因包括产科并发症、高血压疾病、全身性疾病或特发性疾病。预防措施的范围包括改善经济状况以及开展有关健康和安全怀孕的教育。对高危病例进行适当的产前护理以早期发现、对并发症进行充分及时的处理以及具备充足的新生儿护理设施可降低围产期发病率和死亡率。