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北地地区新生儿先天性畸形:1966 - 1977年

Congenital malformations in the newborn in Northland: 1966-1977.

作者信息

Hanify J A, Metcalf P, Nobbs C L, Worsley K J

出版信息

N Z Med J. 1980 Sep 24;92(668):245-8.

PMID:6935546
Abstract

A survey of all hospital births in the Northland region of New Zealand during 1966-1977 has been carried out. There were 23 591 births during this period, of which 374 had significant malformations diagnosed in hospital. There were 243 stillbirths, 148 neonatal deaths; 334 infants with diagnosed malformations survived to discharge. Rates of stillbirth, neonatal death and malformation were higher amongst Maoris than amongst non-Maoris. The commoner malformations (with incidence rates per thousand births) were: talipes (5.2), spina bifida, congenital heart defects, cleft lip and/or cleft palate (1.5), and anencephalus (1.0). Anencephalus was commoner amongst females than males; talipes and isolated cleft palate were commoner amongst Maoris, anencephalus and spina bifida amongst non-Maoris. There is some evidence that whereas the rate of stillbirth has declined over the period, the rate of neonatal death has risen.

摘要

对1966年至1977年期间新西兰北部地区所有医院分娩情况进行了一项调查。在此期间共有23591例分娩,其中374例在医院被诊断出有严重畸形。有243例死产,148例新生儿死亡;334例被诊断出有畸形的婴儿存活至出院。毛利人的死产、新生儿死亡和畸形率高于非毛利人。较常见的畸形(每千例分娩的发病率)为:畸形足(5.2)、脊柱裂、先天性心脏缺陷、唇裂和/或腭裂(1.5)以及无脑儿(1.0)。无脑儿在女性中比男性更常见;畸形足和单纯腭裂在毛利人中更常见,无脑儿和脊柱裂在非毛利人中更常见。有证据表明,在此期间死产率有所下降,而新生儿死亡率有所上升。

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