斯里兰卡低出生体重的组成,决定因素和危险因素
Sachith Mettananda1,2,3, Himali Herath3,4, Ayesha Thewage1
1Department of Paediatrics, University of Kelaniya, Sri Lanka.
PloS one
|February 7, 2025
概括
低出生体重仍然是一个全球性的挑战. 在斯里兰卡,20.4%的新生儿出生时体重低,怀孕年龄相对较小是主要的贡献者,强调需要解决可修改的孕产妇风险因素.
科学领域:
- 公共卫生 公共卫生
- 新生儿医学 新生儿医学
- 流行病学 流行病学
背景情况:
- 低出生体重 (LBW) 给全球健康带来了重大挑战,特别是在发展中国家.
- 关于LBW决定因素的有限数据阻碍了有效的干预策略.
- 斯里兰卡作为一个案例研究,以了解LBW在发展中国家的背景下.
研究的目的:
- 为了确定斯里兰卡低出生体重 (LBW) 的组成.
- 确定与LBW相关的关键风险因素.
- 为减少LBW提供公共卫生战略的信息.
主要方法:
- 在斯里兰卡的13家医院进行了一项全国性的,多中心的,横截面的研究.
- 有望招募9130名活生生的新生儿及其母亲.
- 通过采访收集关于社会人口统计,医疗/产科病史和分娩细节的数据;出生后立即测量出生体重.
主要成果:
- 整体LBW患病率为20.4% (1865/9130名新生儿).
- 对于妊娠年龄来说小 (SGA) 占LBW病例的64%,而早产导致了37%.
- 显著可修改的SGA风险因素包括青少年怀孕,低孕前孕产妇BMI,不充分的妊娠体重增加,孕产妇贫血,慢性肺病和妊娠引起的高血压.
结论:
- SGA是斯里兰卡LBW负担的主要贡献者,需要有针对性的干预措施.
- 解决SGA可修改的孕产妇风险因素对于减少LBW至关重要.
- 与针对SGA一起缓解早产,为发展中国家减少LBW提供了一个可行的战略.
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