دورية أكاديمية

Changes in the live birth profile in Henan, China: A hospital registry‐based study

التفاصيل البيبلوغرافية
العنوان: Changes in the live birth profile in Henan, China: A hospital registry‐based study
المؤلفون: Zhang, Xiaoli, Chen, Xi, Li, Bingbing, Xia, Lei, Zhang, Shan, Ding, Wenjun, Gao, Liang, Liu, Aiqing, Xu, Falin, Zhang, Ruili, Cui, Shihong, Wang, Xiaoyang, Zhu, Changlian
المساهمون: National Key Research and Development Program of China, Vetenskapsrådet, Science and Technology Department of Henan Province, National Natural Science Foundation of China, China Postdoctoral Science Foundation
المصدر: Birth ; volume 49, issue 3, page 497-505 ; ISSN 0730-7659 1523-536X
بيانات النشر: Wiley
سنة النشر: 2022
المجموعة: Wiley Online Library (Open Access Articles via Crossref)
الوصف: Background Preterm complications and neonatal asphyxia are the leading causes of death in those under 5 years of age. However, little information exists for the province of Henan, China. The purpose of this study was to explore changes in the live birth profile in a provincial hospital over the past 32 years in Henan, China. Methods A retrospective analysis was conducted to reveal the characteristics of live neonates from 1987 to 2018. Results There were 118 253 live births during the period, including 19 798 (16.74%) preterm births. The neonatal death rate was 6.45‰, and the top risk factor was preterm birth complications and birth asphyxia. Before 1998, neonatal death occurred primarily among term infants. Between 1999 and 2018, preterm infants, especially extreme and very preterm infants with very low birthweight, constituted more than half of all mortalities, and the preterm birth rate increased from 5.94% in 1999 to 16.69% in 2018. The risk factors associated with preterm birth were being male (aOR = 1.18, P < 0.001), advanced maternal age (>35 years old; aOR = 1.08, P = 0.008), gravidity ≥2 (aOR = 1.15, P < 0.001), parity ≥2 (aOR = 1.50, P < 0.001), placenta previa (aOR = 7.41, P < 0.001), twin or multiple births (aOR = 10.63, P < 0.001), hypertension (aOR = 2.08, P < 0.001), and rupture of membrane (aOR = 5.03, P < 0.001). Conclusions The preterm birth rate has increased over the past 32 years from 4.98% to 16.69% in a provincial hospital in China. Preterm birth was the leading reason for neonatal death, and birth asphyxia was the major risk factor for death in term infants.
نوع الوثيقة: article in journal/newspaper
اللغة: English
DOI: 10.1111/birt.12620
الإتاحة: https://doi.org/10.1111/birt.12620Test
حقوق: http://creativecommons.org/licenses/by-nc/4.0Test/
رقم الانضمام: edsbas.BBBE8C4E
قاعدة البيانات: BASE