关键词: NICU premature birth preterm birth prevalence survival rate

Mesh : Humans Saudi Arabia / epidemiology Female Premature Birth / epidemiology Infant, Newborn Cross-Sectional Studies Male Incidence Pregnancy Gestational Age Infant, Premature Infant Mortality / trends Survival Rate Birth Weight Infant Intensive Care Units, Neonatal / statistics & numerical data Infant, Extremely Low Birth Weight Apgar Score

来  源:   DOI:10.15537/smj.2024.45.7.20240194

Abstract:
OBJECTIVE: To understand the prevalence and survival rates of preterm birth (PTB) is of utmost importance in informing healthcare planning, improving neonatal care, enhancing maternal and infant health, monitoring long-term outcomes, and guiding policy and advocacy efforts.
METHODS: The medical records of preterm infants admitted to the Neonatal Intensive Care Unit (NICU) with a diagnosis of prematurity at the Maternity and Children\'s Hospital (MCH), Al Kharj, Saudi Arabia, were reviewed between January 2018 and December 2022. Data were collected on birth weight (BW), gender, number of live births, gestational age, mortality, nationality, APGAR score, length of stay in the NICU, and maternal details.
RESULTS: A total of 9809 live births were identified between 2018 and 2022, of which 139 (3.9%) were born preterm. The overall mortality rate of the included sample was 7.19%, whereas the mortality rate according to BW was 38.4% of those born with extremely low birth weight (ELBW). The most common intrapartum complications were malpresentation (15.1%), placental complications (4.3%), and cord complications (3.6%).
CONCLUSIONS: This study provides valuable insights into the prevalence of PTB in the country, particularly focusing on the vulnerability of extremely preterm babies.
摘要:
目的:了解早产(PTB)的患病率和生存率对于制定医疗保健计划至关重要,改善新生儿护理,加强母婴健康,监测长期结果,指导政策和宣传工作。
方法:新生儿重症监护病房(NICU)收治的早产儿的医疗记录,在妇幼医院(MCH)诊断为早产儿,AlKharj,沙特阿拉伯,在2018年1月至2022年12月期间进行了审查。数据收集了出生体重(BW),性别,活产婴儿的数量,胎龄,死亡率,国籍,APGAR评分,在NICU的停留时间,和母亲的细节。
结果:在2018年至2022年期间,共发现9809例活产,其中139例(3.9%)早产。纳入样本的总死亡率为7.19%,而根据BW,极低出生体重(ELBW)的死亡率为38.4%。最常见的产时并发症是不正常(15.1%),胎盘并发症(4.3%),和脊髓并发症(3.6%)。
结论:这项研究为该国PTB的患病率提供了有价值的见解,特别关注极度早产婴儿的脆弱性。
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