Birth Asphyxia: A Major Cause of Early Neonatal Mortality in a Tanzanian Rural Hospital

被引：70

作者：

Ersdal, Hege Langli ^{[1
,2
]}

Mduma, Estomih ^{[3
]}

Svensen, Erling ^{[3
,4
]}

Perlman, Jeffrey ^{[3
]}

机构：

[1] Stavanger Univ Hosp, Dept Anaesthesiol & Intens Care, N-4068 Stavanger, Norway

[2] Univ Oslo, Dept Int Hlth, Oslo, Norway

[3] Haydom Lutheran Hosp, Haydom, Tanzania

[4] Univ Bergen, Ctr Int Hlth, Bergen, Norway

来源：

PEDIATRICS | 2012年 / 129卷 / 05期

关键词：

millennium developmental goal 4; neonatal mortality; low-resource settings; causes of neonatal deaths; CHILD-MORTALITY; DEATHS; STILLBIRTHS; PROGRESS; HEALTH;

D O I：

10.1542/peds.2011-3134

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

WHAT'S KNOWN ON THIS SUBJECT: The presumed causes of neonatal deaths globally have remained unchanged over the past decade and include infections (similar to 30%), prematurity (similar to 30%), and asphyxia (similar to 25%). Great uncertainty surrounds these estimates and, in addition, cases are likely misclassified as stillbirths. WHAT THIS STUDY ADDS: These observational findings indicate that asphyxia accounts for a much higher percentage (60% of early deaths). Prematurity (18%), low birth weight (8%), and overt infection are much less common. The 5-minute Apgar score is an unreliable indicator of birth asphyxia.

引用

页码：E1238 / E1243

页数：6

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