期刊论文详细信息
BMC Pregnancy and Childbirth
Estimation of high risk pregnancy contributing to perinatal morbidity and mortality from a birth population-based regional survey in 2010 in China
Yongbo Heng5  Jinzhong Xu7  Wenlong Lin1  Yixing Zhang1,11  Xiaofeng Zuo9  Maotian Dong2  Shouzhong Li8  Yujing Fan8  Jianxin Luo4  Chunming Shan4  Shuyan Lu3  Meihua Qi1,10  Zhaofang Tian3  Liangrong Han1,10  Bo Sun6  Hongni Yue1,10  Libo Sun6 
[1] Departments of Pediatrics and Obstetrics, Xuyi County Hospital for Traditional Chinese Medicine, Huai’an, Jiangsu 211700, China;Departments of Pediatrics and Obstetrics, Chuzhou District Hospital, Huai’an, Jiangsu 223200, China;Departments of Neonatology and Obstetrics, Huai’an First People’s Hospital, Huai’an, Jiangsu 223002, China;Departments of Pediatrics and Obstetrics, Huai’an Second People’s Hospital, Huai’an, Jiangsu 223002, China;Departments of Pediatrics and Obstetrics, Jinhu County Hospital, Huai’an, Jiangsu 211600, China;Departments of Pediatrics and Neonatology, Children’s Hospital and the Institutes of Biomedical Science, Fudan University, and the Laboratory of Neonatal Medicine, National Health and Family Planning Commission, Shanghai 201102, China;Departments of Pediatrics and Obstetrics, Hongze County Hospital, Huai’an, Jiangsu 223100, China;Departments of Pediatrics and Obstetrics, Huaiyin District Hospital, Huai’an, Jiangsu 223300, China;Departments of Pediatrics and Obstetrics, Lianshui County Hospital, Huai’an, Jiangsu 223400, China;Departments of Neonatology and Obstetrics, Huai’an Women and Children’s Hospital, Huai’an, Jiangsu 223002, China;Departments of Pediatrics and Obstetrics, Xuyi County Hospital, Huai’an, Jiangsu 211700, China
关键词: High-risk pregnancy;    Neonatal outcomes;    Perinatal risks;    Perinatology;    Mortality;    Morbidity;   
Others  :  1125436
DOI  :  10.1186/1471-2393-14-338
 received in 2014-03-17, accepted in 2014-09-22,  发布年份 2014
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【 摘 要 】

Background

Neonatal mortality reduction in China over past two decades was reported from nationwide sampling surveys, however, how high risk pregnancy affected neonatal outcome is unknown. The objective of this study was to explore relations of pregnancy complications and neonatal outcomes from a regional birth population.

Methods

In a prospective, cross-sectional survey of complete birth population-based data file from 151 level I-III hospitals in Huai’an region in 2010, pregnancy complications were analyzed for perinatal morbidity and mortality in association with maternal and perinatal characteristics, hospital levels, mode of delivery, newborn birth weight and gestational age, using international definition for birth registry and morbidities.

Results

Pregnancy complications were found in 10% of all births, in which more than 70% were delivered at level II and III hospitals associated with higher proportions of fetal and neonatal death, preterm birth, death at delivery and congenital anomalies. High Cesarean section delivery was associated with higher pregnancy complications, and more neonatal critical illnesses. The pregnancy complications related perinatal morbidity and mortality in level III were 2–4 times as high as in level I and II hospitals. By uni- and multi-variate regression analysis, impact of pregnancy complications was along with congenital anomalies and preterm birth, and maternal child-bearing age and school education years contributing to the prevalence.

Conclusions

This survey revealed variable links of pregnancy complications to perinatal outcome in association with very high Cesarean section deliveries, which warrants investigation for causal relations between high risk pregnancy and neonatal outcome in this emerging region.

【 授权许可】

   
2014 Sun et al.; licensee BioMed Central Ltd.

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