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围产期死亡率:一项持续的区域合作调查。

Perinatal mortality: a continuing collaborative regional survey.

出版信息

Br Med J (Clin Res Ed). 1984 Jun 9;288(6432):1717-20. doi: 10.1136/bmj.288.6432.1717.

Abstract

A collaborative survey of perinatal mortality in each district of the Northern region set up in July 1980 was able to obtain information on 99% of all the registered perinatal deaths among babies born in 1981-2 to mothers resident in the region. There were 12.4 perinatal deaths/1000 births over this two year period, but 41% of the stillbirths and early neonatal deaths were of babies with a lethal malformation or weighing less than 1000 g at birth (or both). All causes of perinatal mortality had become less common than they had been at the time of the National Birthday Trust survey in 1958, though there had been a relatively small decrease in the number of deaths due to malformation (in the absence of any neural tube defect) and in the number of stillbirths of normally developed fetuses: 36% of the antepartum stillbirths among non-malformed singleton fetuses were associated with poor fetal growth (weight below the fifth centile at birth) and 21% were due to sudden unexplained placental abruption.

摘要

1980年7月对北部地区各行政区围产期死亡率开展的一项合作调查,成功获取了该地区常住母亲在1981年至1982年所生婴儿中99%已登记围产期死亡的信息。在这两年期间,围产期死亡率为每1000例出生中有12.4例死亡,但41%的死产和早期新生儿死亡是由致命畸形或出生体重低于1000克(或两者皆有)的婴儿所致。尽管因畸形(无神经管缺陷)导致的死亡数量以及正常发育胎儿的死产数量相对略有下降,但所有围产期死亡原因都比1958年全国生日信托基金调查时更为少见:在非畸形单胎胎儿中,36%的产前死产与胎儿生长发育不良(出生体重低于第五百分位数)有关,21%是由不明原因的胎盘早剥所致。

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