在印度两个农村社区群体中,小型易受伤害的新生儿出生的决定因素:一项前性研究
Sreedevi Kotamreddy1, Rajan Srinivasan1, Neeraj Sharma2
1Christian Medical College, Vellore, Tamil Nadu, 632004, India.
该研究发现,48.3%的新生儿是小的脆弱新生儿 (SVN),多胎妊娠的发病率更高. 关键的危险因素包括产前出血和母亲的身高,突出了针对性干预的必要性.
科学领域:
- 孕产妇和儿童的健康
- 新生儿结局的结果.
- 公共卫生流行病学 流行病学
背景情况:
- 小脆弱新生儿 (SVN) 联盟通过结合早产,低出生体重 (LBW) 和怀孕年龄 (SGA) 小的类别来定义SVN.
- 关于SVN的流行率和决定因素的数据有限,因此需要进行这项研究.
研究的目的:
- 在两个不同的印度队伍中估计小脆弱新生儿 (SVN) 的发病率.
- 确定与SVN相关的因素,以告知有针对性的公共卫生干预措施.
主要方法:
- 在Hodal,Haryana和Lowairpoa,Assam的孕妇队伍的纵向研究,从产前期到产后12个月.
- 计算了SVN的发生率,并使用修改后的Poisson回归模型分析了与各种因素的关联.
主要成果:
- 总体SVN发病率为48.3%,包括终期SGA (32.2%),早产非SGA (14.7%) 和早产SGA (2.9%).
- 与单胎相比,多胎妊娠的SVN发病率更高.
- 显著的危险因素包括产前出血,母亲身高<145厘米,先前的LBW病史,无效性和排他性的生物质燃料使用.
结论:
- 小脆弱新生儿 (SVN) 的高负担需要特定区域的产前护理策略.
- 识别和解决产前出血和孕产妇营养不良等危险因素对于减少SVN发病率至关重要.
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