Swailem A R, Serenius F, Edressee A W, Ohlsson A
Ministry of Health, Kingdom of Saudi Arabia, Riyadh.
Acta Paediatr Scand Suppl. 1988;346:57-69. doi: 10.1111/j.1651-2227.1988.tb10871.x.
Perinatal mortality was analyzed in infants to mothers who delivered at the main Maternity hospital in Riyadh and who represented a large proportion of the obstetric population in the city. The crude perinatal mortality rate was 39.8 per 1000 births. The birth weight-specific mortality rates were compared with the corresponding Swedish rates. The ratio between the birth weight-specific mortality rates in Riyadh and Sweden increased from the lightest to the heaviest birth weight category. Thus the perinatal mortality rate was 2.3 times higher in infants less than 1500 g, and 8.8 times higher in infants with birth weights of 3500 g and more. Similarly, the ratio between the gestational age-specific mortality rates in Riyadh and Sweden increased with advancing gestational age. The perinatal mortality rate of infants less than 28 weeks was 1.6 times higher, and that of term infants 4.8 times higher than in Sweden. The findings indicated shortcomings in the obstetric services. The perinatal mortality rate of teenage mothers, who comprised 17 percent of the material, was 9.1 times the Swedish rate. Other risk groups were para 0 mothers and mothers with a previous infant loss.
对在利雅得主要妇产医院分娩的婴儿及其母亲的围产期死亡率进行了分析，这些母亲占该市产科人群的很大比例。粗围产期死亡率为每1000例出生39.8例。将特定出生体重的死亡率与瑞典的相应死亡率进行了比较。利雅得和瑞典特定出生体重的死亡率之比从最轻到最重的出生体重类别逐渐增加。因此，体重不足1500克的婴儿围产期死亡率高出2.3倍，体重3500克及以上的婴儿围产期死亡率高出8.8倍。同样，利雅得和瑞典特定孕周的死亡率之比随着孕周的增加而增加。孕周小于28周的婴儿围产期死亡率高出1.6倍，足月儿的围产期死亡率比瑞典高出4.8倍。研究结果表明产科服务存在缺陷。占产妇总数17%的青少年母亲的围产期死亡率是瑞典的9.1倍。其他风险群体包括初产妇和有过婴儿死亡史的母亲。
