Stillbirths and neonatal mortality as outcomes.

Stillbirths and neonatal mortality as outcomes.
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死产和新生儿死亡是结果。

DOI:
10.1016/j.ijgo.2013.06.020
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发表时间:
2013-12
影响因子:
3.8
通讯作者:
Rubens, Craig E.
Rubens, Craig E.
中科院分区:
医学4区
文献类型:
--
作者:
Goldenberg, Robert L.;McClure, Elizabeth M.;Jobe, Alan H.;Kamath-Rayne, Beena D.;Gravette, Michael G.;Rubens, Craig E.

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最近在低资源国家的几项研究声称,新生儿复苏方面的培训和使用的增加导致了死胎率的降低。在这篇文章中,我们探讨了在一些资源匮乏的国家,各种类型的助产士收集数据,准确区分死产活产/新生儿早期死亡的能力。我们得出结论,在许多情况下,无法确定婴儿是死产还是活产/新生儿早期死亡,因此研究结局的最小偏倚描述包括死产和活产/新生儿死亡结局。然而,由于从公共卫生角度来看,确定死产和新生儿死亡的负担十分重要,因此,在低收入国家和其他地方,应尽一切努力区分死产和活产/新生儿死亡,并独立报告结果。
Several recent studies in low-resource countries have claimed that training in—and increased use of—newborn resuscitation resulted in reduced stillbirth rates. In the present article, we explore the ability of various types of birth attendant in some low-resource country locations to gather data that accurately differentiate a stillbirth from a live birth/early neonatal death. We conclude that, in many situations, it cannot be determined whether the infant was a stillbirth or a live birth/early neonatal death, and therefore the least-biased description of study outcomes includes a combined stillbirth and live birth/neonatal death outcome. However, because defining the burden of stillbirth and neonatal death is important from a public health perspective, every effort should be made, in low-income countries and elsewhere, to distinguish between stillbirths and live births/neonatal deaths and to report the results independently.
DOI: 10.1542/peds.2012-2112
发表时间: 2013-02-01
期刊: PEDIATRICS
影响因子: 8
作者:
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