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在发展中国家实施出生登记——格鲁吉亚的经验

Implementing a birth registry in a developing country - experiences from Georgia.

作者信息

Anda Erik Eik, Nedberg Ingvild Hersoug, Rylander Charlotta, Gamkrelidze Amiran, Turdziladze Alexander, Skjeldestad Finn Egil, Ugulava Tamar, Brenn Tormod

出版信息

Tidsskr Nor Laegeforen. 2017 Dec 20;138(2). doi: 10.4045/tidsskr.17.0553.

DOI:10.4045/tidsskr.17.0553
PMID:29357658
Abstract

BACKGROUND

Georgia is the first developing country in the world to have established a national digital, medical birth registry. The Georgia Birth Registry was officially inaugurated on 1 January, 2016. The purpose of this article is to assess the quality of selected variables and present preliminary results from the year 2016.

MATERIAL AND METHODS

The Registry resembles the Nordic birth registries in structure. There are 285 medical facilities involved, each entering 267 variables from week 12 of pregnancy to hospital discharge. In 2016, 52 399 women and 53 236 newborns were recorded as valid entries in the Georgian Birth Registry.

RESULTS

The completeness of the Registry in 2016 was 93.9 %. The difference between the reported number of newborns in the Registry and in official statistics was 3441. The mean gestational age was 271.3 days and the Caesarean section rate 43.5 %. The mean birth weight was 3262 g. Newborns delivered by Caesarean section had a lower gestational age and lower birth weight compared to those delivered vaginally.

INTERPRETATION

There are more newborns registered annually as Georgian citizens than the number of infants born in the country. This leads to inaccurate official reporting on perinatal mortality rates.

摘要

背景

格鲁吉亚是世界上第一个建立全国性数字医学出生登记处的发展中国家。格鲁吉亚出生登记处于2016年1月1日正式启用。本文旨在评估选定变量的质量,并呈现2016年的初步结果。

材料与方法

该登记处在结构上类似于北欧的出生登记处。有285个医疗机构参与其中,每个机构从怀孕第12周开始至出院录入267个变量。2016年,格鲁吉亚出生登记处记录了52399名女性和53236名新生儿的有效信息。

结果

2016年登记处的完整性为93.9%。登记处上报的新生儿数量与官方统计数据之间的差异为3441例。平均孕周为271.3天,剖宫产率为43.5%。平均出生体重为3262克。与经阴道分娩的新生儿相比,剖宫产出生的新生儿孕周较短,出生体重较低。

解读

每年登记为格鲁吉亚公民的新生儿数量多于该国出生的婴儿数量。这导致围产期死亡率的官方报告不准确。

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