新生儿出生后第一周内体重减轻与住院情况的关系
The Relationship between Gestational Newborn Weight Loss and Hospitalization in the First Week after Birth.
作者信息
Qiao Linxiao, Zhang Haiyan, Yuan Yufeng, Zhu Wenying, Yuan Jing, Hu Yuanyuan, Zhu Hongli
机构信息
Department of Pediatrics, The First People's Hospital of Kunshan Affiliated to Jiangsu University, China.
Department of Pediatrics, Kunshan Maternity and Children's Health Care Hospital, Kunshan, China.
出版信息
Appl Bionics Biomech. 2022 Aug 8;2022:9871177. doi: 10.1155/2022/9871177. eCollection 2022.
OBJECTIVE
To investigate the association of weight loss daily of term infants with hospitalization in the first week after birth.
METHODS
This prospective cohort study was conducted among 1865 infants from May 2020 to June 2021, born in the Department of Obstetrics, Kunshan's First People's Hospital Affiliated to Jiangsu University and Huai'an Maternal and Child Health Care Center. The infants' weight was collected daily in the hospital, and the weight loss was calculated daily. According to the weight loss daily, the infants were divided into 3 groups. Group A: the weight loss per day was less than 2% of birth weight, and the total weight loss was less than 10%. Group B: the weight loss per day was between 2 and 4% of the birth weight, and the total weight loss was less than 10%. Group C: the weight loss per day was more than 4% of the birth weight, or the total weight was more than 10%. The infants in group C were monitored carefully in the hospital or Outpatient Department (OPD) daily. The primary outcome was the incidence of hospitalization.
RESULTS
Of the 1865 term infants enrolled, 1052 were completed on the 7 day (356 in group A, 513 in group B, and 183 in group C). There was no significant difference among the three groups of subjects in terms of infant data, including birth weight, gender, Apgar scores, and gestational age. The number of C-sections and primiparas was substantially higher in groups C and B than in group A. The incidence of hospitalization in group C was significantly higher than that in group A and group B (30.6%, 12.1%, and 12.5%, respectively). The incidence of exclusive breastfeeding in group C was significantly lower than that in group A and group B (28.4%, 41%, and 38.4%, respectively). There was no significant difference between group A and group B in the incidence of hospitalization and exclusive breastfeeding. Most of the hospitalization was because of hyperbilirubinemia, and in group C, there were 2 babies because of dehydration fever and 3 because of hypoglycemia.
CONCLUSIONS
The neonates whose weight loss daily after birth was more than 4% of the total weight loss of more than 10% had higher hospitalization rates.
目的
探讨足月儿出生后第一周每日体重下降与住院情况之间的关联。
方法
这项前瞻性队列研究于2020年5月至2021年6月在江苏大学附属昆山第一人民医院产科及淮安市妇幼保健院出生的1865例婴儿中进行。在医院每日收集婴儿体重，并计算每日体重下降情况。根据每日体重下降情况，将婴儿分为3组。A组：每日体重下降小于出生体重的2%，且总体重下降小于10%。B组：每日体重下降为出生体重的2%至4%，且总体重下降小于10%。C组：每日体重下降大于出生体重的4%，或总体重下降大于10%。对C组婴儿在医院或门诊每日进行密切监测。主要结局指标为住院发生率。
结果
在纳入的1865例足月儿中，1052例在第7天完成研究（A组356例，B组513例，C组183例）。三组受试者在婴儿数据方面，包括出生体重、性别、阿氏评分和胎龄，均无显著差异。C组和B组剖宫产和初产妇的比例显著高于A组。C组的住院发生率显著高于A组和B组（分别为30.6%、12.1%和12.5%）。C组纯母乳喂养的发生率显著低于A组和B组（分别为28.4%、41%和38.4%）。A组和B组在住院发生率和纯母乳喂养发生率方面无显著差异。大多数住院是因为高胆红素血症，C组中有2例婴儿因脱水热住院，3例因低血糖住院。
结论
出生后每日体重下降超过总体重的4%或总体重下降超过10%的新生儿住院率较高。
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