Kumar R
Department of Community Medicine, Post-Graduate Institute of Medical Education and Research, Chandigarh, India.
J Trop Pediatr. 1995 Feb;41(1):5-7. doi: 10.1093/tropej/41.1.5.
A community-based inquiry was conducted in a rural area of north India to estimate extent of the problem of birth asphyxia. Births and neonatal deaths were recorded in 54 villages. Trained field workers contacted birth attendants/family members within 15 days after the birth, and recorded the symptoms and signs related to birth asphyxia on a pre-coded questionnaire. Detailed descriptive history of birth events in chronological order was recorded in cases suspected to be asphyxiated or stillborn. Two pediatricians reviewed the case histories independently to assign the diagnosis. Out of the 1977 recorded livebirths, field workers suspected 53 babies to be asphyxiated, 39 of these were diagnosed as asphyxiated, four as not asphyxiated by both the experts, and 10 were considered as asphyxiated by one of the experts. Prevalence of birth asphyxia was estimated to be at least 2 per cent (39/1977). Case fatality in these cases was 74 per cent. The verbal diagnosis method adopted in this study can be used to compare the prevalence of asphyxia in community studies.
在印度北部农村地区开展了一项基于社区的调查，以评估出生窒息问题的严重程度。在54个村庄记录了出生情况和新生儿死亡情况。经过培训的现场工作人员在婴儿出生后15天内联系接生人员/家庭成员，并在预先编码的问卷上记录与出生窒息相关的症状和体征。对于疑似窒息或死产的病例，按时间顺序详细记录了出生事件的描述性病史。两位儿科医生独立审查病例记录以做出诊断。在记录的1977例活产中，现场工作人员怀疑53名婴儿窒息，其中39例被诊断为窒息，4例被两位专家均诊断为非窒息，10例被其中一位专家认为窒息。出生窒息的患病率估计至少为2%（39/1977）。这些病例的病死率为74%。本研究采用的口头诊断方法可用于比较社区研究中窒息的患病率。
