Tangermann R, McCarthy B, Schmidt E, Limbacher M
Abteilung für Neonatologie, Universitäts-Kinderklinik Düsseldorf.
Monatsschr Kinderheilkd. 1987 Oct;135(10):679-85.
Infant mortality in North-Rhine Westphalia was increased above the national average throughout the postwar period until today. To clarify the underlying causes the official death certificates of infants who died during their first year were linked to their respective birth certificates. Thus, the amount of data about each individual case was increased considerably. The information collected was then evaluated. An especially high mortality was associated with the maternal risk factors illegitimacy, age below 20 and Turkish nationality. Perinatal mortality was high in the groups of Turkish nationals, and unmarried mothers. Socially underprivileged groups on the whole proved to contribute a high amount of postneonatal mortality. Predominant causes of postneonatal mortality were infections, injuries and the diagnosis "sudden infant death syndrome".
在整个战后时期直至如今，北莱茵-威斯特法伦州的婴儿死亡率一直高于全国平均水平。为了查明潜在原因，将在出生后第一年内死亡婴儿的官方死亡证明与其各自的出生证明相关联。这样，每个单独病例的数据量大幅增加。然后对收集到的信息进行评估。特别高的死亡率与母亲的危险因素有关，如非婚生、年龄低于20岁以及土耳其国籍。土耳其国民群体和未婚母亲群体的围产期死亡率较高。总体而言，社会弱势群体的新生儿后期死亡率较高。新生儿后期死亡的主要原因是感染、伤害以及“婴儿猝死综合征”的诊断。
