Fetal and perinatal mortality, United States, 2005.
Fetal and perinatal mortality, United States, 2005.
复制标题
胎儿和围产儿死亡率，美国，2005 年。
DOI：
--
复制
发表时间：
2009
影响因子：
--
通讯作者：
S. Kirmeyer
中科院分区：
文献类型：
--
作者：
M. MacDorman;S. Kirmeyer
目标
本报告介绍了2005年胎儿和围产期死亡率数据的各种特征，包括产妇年龄，婚姻状况，种族，西班牙裔，和居住州;和胎儿分娩时的胎龄，出生体重，多个和性别。还审查了胎儿和围产期死亡率的趋势。
方法
提供并解释了数据的描述性表格。
结果
2005年，美国有25,894例妊娠20周或以上的胎儿死亡报告。美国的胎儿死亡率为每1000例活产和胎儿死亡中有6.22例妊娠20周或以上的胎儿死亡，与2004年的6.20或2003年的6.23没有显著差异。1990年至2003年，胎儿死亡率缓慢但稳步下降，但2003年至2005年没有下降。从1990年到2003年，总体胎儿死亡率的下降主要是由于妊娠28周或以上的胎儿死亡率下降; 20-27周的胎儿死亡率没有下降。从2003年到2005年，两个胎龄组的胎儿死亡率都没有下降。从2003年到2005年，非西班牙裔白色和非西班牙裔黑人妇女的胎儿死亡率显著下降，但西班牙裔、美洲印第安人或阿拉斯加原住民、亚洲人或太平洋岛民妇女的胎儿死亡率没有下降。2005年，非西班牙裔黑人妇女的胎儿死亡率（11.13）是非西班牙裔白色妇女（4.79）的2.3倍。AIAN妇女的比率（6.17）比非西班牙裔白色妇女高29%，西班牙裔妇女的比率（5.44）比非西班牙裔妇女高14%。包括青少年、35岁及以上妇女、未婚妇女和多胎分娩在内的一些群体的胎儿死亡率升高。2005年，妊娠20周或20周以上的胎儿死亡有一半发生在妊娠20-27周。
OBJECTIVES
This report presents 2005 fetal and perinatal mortality data by a variety of characteristics, including maternal age, marital status, race, Hispanic origin, and state of residence; and by fetal gestational age at delivery, birthweight, plurality, and sex. Trends in fetal and perinatal mortality are also examined.
METHODS
Descriptive tabulations of data are presented and interpreted.
RESULTS
In 2005, there were 25,894 reported fetal deaths of 20 weeks of gestation or more in the United States. The U.S. fetal mortality rate was 6.22 fetal deaths of 20 weeks of gestation or more per 1000 live births and fetal deaths, not significantly different from the rate of 6.20 in 2004 or 6.23 in 2003. The fetal mortality rate declined slowly but steadily from 1990 to 2003, but did not decline from 2003 to 2005. Most of the decline in the overall fetal mortality rate from 1990 to 2003 was due to a decline in fetal deaths of 28 weeks of gestation or more; fetal deaths of 20-27 weeks did not decline. From 2003 to 2005, fetal mortality rates did not decline for either gestational age grouping. From 2003 to 2005, fetal mortality rates declined significantly for non-Hispanic white and non-Hispanic black women, but not for Hispanic, American Indian or Alaska Native (AIAN), or Asian or Pacific Islander women. In 2005, the fetal mortality rate for non-Hispanic black women (11.13) was 2.3 times the rate for non-Hispanic white women (4.79). The rate for AIAN women (6.17) was 29% higher, and the rate for Hispanic women (5.44) was 14% higher than the rate for non-Hispanic white women. Fetal mortality rates are elevated for a number of groups, including teenagers, women aged 35 years and over, unmarried women, and multiple deliveries. In 2005, one-half of fetal deaths of 20 weeks of gestation or more occurred at 20-27 weeks of gestation.