بررسی میزان بروز تولد نوزاد نارس، عوارض و سرانجام آنها در بیمارستانهای دانشگاه علوم پزشکی شیراز در سال 1999
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ABSTRACT Premature labor is one of the great difficulties endangering the health of the society and undoubtedly one of the tragedies of the world since many people suffer from the consequences of prematurity. An analytic research was performed from the records of all premature infants (gestational age less than 37 weeks) who were admitted to hospital of Shiraz Medical University (Zeinabieh and Hafez)in 1999. 160 neonates were chosen randomly as a control group. The clinical characteristics recorded included: Mother’s age, route of delivery, parity, mother’s difficulties and diseases, prenatal care,sex, apgar, birth weight, gestational age, neonatal diseases and outcome. Among 9743 neonantes who were born at the above mentioned hospitals in one year, 522 newborns were premature infants an incidence of 53.5 per 1000 deliveries. There was a reverse relation between weight and gestational age with neonatal death (P<0.000001). The number of alive infants in normal vaginal delivery (87%) was more than infants born by cesarian sections (71.6%) (P<0.0005). There was no significant relationship between gender and outcome, or the route of delivery and gestational age. In comparison to neonates in the case group, the control group had the highest apgar scores in the first and fifth minute, 22.5% versus 72.5% and %0.6 versus 10.9% respectively (P<0.0002). Regarding prenatal care, the control group enjoyed more care (78.1%) as compared to the case group (50.3%) The most prevalent diseases of premature infants were: respiratory distress syndrome, jaundice, and sepsis. In 78.7% of these neonates, their mothers had problems at delivery time such as: premature rupture of membrane, premature labor pain, and preecclampcia. It is certain that, increasing the mother’s knowledge and information, especially in young mothers, about the dangers of prematurity, the importance of prenatal care and avoidance of premature labor is very imporant factors in decreasing the incidence of prematurity.
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volume 9 issue 28
pages 19- 25
publication date 2002-06
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