van der Mei J
Paediatric Department, Agogo Hospital (Presbyterian Church of Ghana), Ashanti region.
Trop Geogr Med. 1994;46(5):313-7.
The birthweight and mortality in hospital was recorded of 567 low birth weight (LBW, < or = 2000 g) infants born/admitted during a 7 years period in Agogo Hospital situated in the rainforest area of Ghana. One hundred and fifty-two (26.8%) of these children died in hospital; 87 (57%) of them in the first 48 hours. The average length of stay in hospital of the surviving children was 11.6 days. The death rate varied from 8.4% in the 1,751 to 2,000 g group to 83.3% in infants with a birth weight < or = 1000 g. The proportion LBW children to the total newborn population was 5.5%; the proportion of extreme LBW (< or = 1000 g) to the total number LBW infants was 7.3%. The results are compared with figures from other countries, many of them with a more westernized infrastructure. In our setting, no sophisticated equipment and expensive intensive care provisions were available. This descriptive study was carried out to establish the survival rate in the neonatal period during the primary stay in hospital with low-cost conservative care. Dedicated staff members, who underwent only a simple training programme, and mothers participating in the care for their children contributed to the relatively favourable outcome.
记录了加纳雨林地区阿戈戈医院7年间出生/收治的567名低出生体重（LBW，≤2000克）婴儿的出生体重和住院死亡率。其中152名（26.8%）儿童在医院死亡；其中87名（57%）在出生后48小时内死亡。存活儿童的平均住院时间为11.6天。死亡率从1751至2000克组的8.4%到出生体重≤1000克婴儿的83.3%不等。低出生体重儿童占新生儿总数的比例为5.5%；极低出生体重（≤1000克）婴儿占低出生体重婴儿总数的比例为7.3%。将结果与其他国家的数据进行了比较，其中许多国家拥有更为西化的基础设施。在我们的环境中，没有复杂的设备和昂贵的重症监护设施。这项描述性研究旨在确定在低成本保守治疗下，新生儿在初次住院期间的存活率。仅接受简单培训计划的专业工作人员以及参与照顾孩子的母亲促成了相对良好的结果。
