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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
[A single-center study on the incidence and mortality of preterm infants from 2006 to 2016]
Jun-Mei Yan1, Hui Huang, Qian-Qian Li
1Xuzhou Maternal and Child Health Care Hospital, Xuzhou, Jiangsu 221009, China. Dengxy1952@126.com.
Insights
The incidence of preterm infants increased from 2006-2016, but their mortality rate decreased. Respiratory distress syndrome and severe asphyxia remain leading causes of death in preterm infants.
Area of Science:
- Neonatalogy
- Perinatal Medicine
- Public Health
Background:
- Preterm birth is a significant global health concern.
- Understanding trends in preterm infant incidence and mortality is crucial for improving neonatal care.
- Identifying primary causes of death aids in targeted interventions.
Purpose of the Study:
- To analyze the incidence and mortality rates of preterm infants.
- To determine the primary causes of death among preterm infants.
- To examine trends in preterm infant outcomes over a decade.
Main Methods:
- Retrospective analysis of medical and admission/discharge records.
- Inclusion of 5,585 preterm infants born between January 2006 and December 2016.
- Statistical analysis to assess trends and correlations.
Main Results:
- Preterm infant incidence increased (7.27%) from 2006-2016.
- Overall mortality rate decreased to 5.01% during the study period.
- Mortality strongly correlated with reduced birth weight and gestational age.
- Top causes of death: respiratory distress syndrome (44.3%), severe asphyxia (12.9%).
Conclusions:
- Preterm infant incidence rose, while mortality declined between 2006 and 2016.
- Gestational age and birth weight are key factors influencing preterm infant mortality.
- Respiratory distress syndrome and severe asphyxia are the predominant causes of death.
Objective:
To investigate the incidence and mortality rates of preterm infants and the main causes of death.
Methods:
The basic information of preterm infants was collected from their medical records and admission/discharge records to analyze the incidence and mortality rates of preterm infants and the causes of their death.
Results:
There were 76 812 neonates born in the Xuzhou Maternal and Child Health Hospital from January 2006 to December 2016, among whom 5 585 (7.27%) were preterm infants. The incidence rate of preterm infants tended to increase over these years (P<0.001). The overall mortality rate was 5.01% (280/5 585), and the mortality rate tended to decrease over these years (P<0.001). The mortality rate increased with the reductions in birth weight and gestational age (P<0.001). The top four causes of death in preterm infants were respiratory distress syndrome (44.3%), severe asphyxia (12.9%), neonatal malformation (4.3%), and pulmonary hemorrhage (2.9%) respectively. With the increase in birth weight, there were significant reductions in the constituent ratios of death due to respiratory distress syndrome and severe asphyxia (P<0.001).
Conclusions:
The incidence rate of preterm infants tended to increase and their mortality rate tended to decrease from 2006 to 2016. The mortality rate of preterm infants is associated with gestational age and birth weight. Respiratory distress syndrome and severe asphyxia are the main causes of death in preterm infants.
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