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沙特阿拉伯阿尔卡尔吉的早产发生率和生存情况的横断面分析。

A cross-sectional analysis of preterm birth incidence and survival in Al Kharj, Saudi Arabia.

机构信息

From the Department of Health & Rehabilitation Sciences (Alghadier, Alasraj, Elnaggar), Prince Sattam bin Abdulaziz University; from the Department of Maternal & Child Health Nursing (Zaghamir), College of Nursing, Prince Sattam Bin Abdulaziz University; from the Department of Physical Therapy (Alazmi), from the Department of Quality (Aldawsari), from the Department of Hospital Administration (Alnadah), and from the Department of Pediatrics (Alqahtani), Maternity and Children's Hospital, Al Kharj, Kingdom of Saudi Arabia; from the Department of Physical Therapy for Pediatrics (Elnaggar), Faculty of Physical Therapy, Cairo University, Giza; and from the Department of Pediatric Nursing (Zaghamir), Faculty of Nursing, Port Said University, Egypt.

出版信息

Saudi Med J. 2024 Jul;45(7):710-718. doi: 10.15537/smj.2024.45.7.20240194.

Abstract

OBJECTIVES

To understand the prevalence and survival rates of preterm birth (PTB) is of utmost importance in informing healthcare planning, improving neonatal care, enhancing maternal and infant health, monitoring long-term outcomes, and guiding policy and advocacy efforts.

METHODS

The medical records of preterm infants admitted to the Neonatal Intensive Care Unit (NICU) with a diagnosis of prematurity at the Maternity and Children's Hospital (MCH), Al Kharj, Saudi Arabia, were reviewed between January 2018 and December 2022. Data were collected on birth weight (BW), gender, number of live births, gestational age, mortality, nationality, APGAR score, length of stay in the NICU, and maternal details.

RESULTS

A total of 9809 live births were identified between 2018 and 2022, of which 139 (3.9%) were born preterm. The overall mortality rate of the included sample was 7.19%, whereas the mortality rate according to BW was 38.4% of those born with extremely low birth weight (ELBW). The most common intrapartum complications were malpresentation (15.1%), placental complications (4.3%), and cord complications (3.6%).

CONCLUSION

This study provides valuable insights into the prevalence of PTB in the country, particularly focusing on the vulnerability of extremely preterm babies.

摘要

目的

了解早产儿(PTB)的患病率和存活率对于告知医疗保健规划、改善新生儿护理、提高母婴健康、监测长期结局以及指导政策和宣传工作至关重要。

方法

回顾了 2018 年 1 月至 2022 年 12 月期间在沙特阿拉伯阿尔卡尔吉的母婴医院(MCH)新生儿重症监护病房(NICU)因早产而被诊断为早产儿的早产儿的医疗记录。收集了出生体重(BW)、性别、活产数、胎龄、死亡率、国籍、APGAR 评分、NICU 住院时间和产妇详细信息。

结果

2018 年至 2022 年期间共发现 9809 例活产儿,其中 139 例(3.9%)为早产儿。纳入样本的总体死亡率为 7.19%,而根据 BW 计算的死亡率为极低出生体重儿(ELBW)的 38.4%。最常见的分娩期并发症为胎位不正(15.1%)、胎盘并发症(4.3%)和脐带并发症(3.6%)。

结论

本研究提供了该国 PTB 患病率的有价值见解,特别是关注了极早产儿的脆弱性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b65/11237268/e927547459b4/SaudiMedJ-45-7-710_1.jpg

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