The Egypt National Perinatal/Neonatal Mortality Study 2000.
The Egypt National Perinatal/Neonatal Mortality Study 2000.
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DOI：
10.1038/sj.jp.7211084
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发表时间：
2004-05-01
期刊：
影响因子：
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通讯作者：
Mohsen, Lamiaa
中科院分区：
文献类型：
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作者：
Campbell, Oona;Gipson, Reginald;Mohsen, Lamiaa
目的：估计死产，围产期（PMR）和新生儿死亡率（NMR）在Egypt和分配的主要死因。研究设计：数据收集从一个有代表性的样本的妇女谁生了17,521家庭，其中包括在埃及人口与健康调查（EDHS）2000年。三个系统之间进行了比较，分类死因。结果：核磁共振为25每1000例活产（17早期和8晚）。一半的死亡发生在出生后的头两天。新生儿死亡原因为早产（39%）、窒息（18%）、感染（7%）、先天畸形（6%）和未分类（29%）。PMR为34/1000，主要原因是：窒息（44%）和早产（21%）。修订后的Wigglesworth分类与医生一致，除了小组将更多的死亡归因于感染（20%）。世界卫生组织的死因推断算法留下48%的死亡unclassified.CONCLUSIONS：在埃及的婴儿死亡率显示出一个流行病学的转变，死亡率显着下降，导致在生命的第一周死亡的比例不成比例。埃及的婴儿死亡率下降了64%，从1974年至1978年的124/1000下降到1995年至1999年的44/1000，年龄较大的婴儿下降幅度最大; 55%的婴儿死亡发生在新生儿期。在这项研究中，新生儿死亡率估计为每1 000名活产25人。
OBJECTIVES: To estimate stillbirth, perinatal (PMR) and neonatal mortality rates (NMR) in Egypt and to assign main causes of death.STUDY DESIGN: Data were collected from a representative sample of women who gave birth from 17,521 households which were included in the Egypt Demographic and Health Survey (EDHS) 2000. Comparisons were made between three systems for classifying causes of death.RESULTS: The NMR was 25 per 1000 live births (17 early and eight late). Half the deaths occurred in the first two days of life. Neonatal causes of death were pre-maturity (39%), asphyxia (18%), infections (7%), congenital malformation (6%) and unclassified (29%). The PMR was 34 per 1000 births, mainly attributed to: asphyxia (44%) and prematurity (21%). The revised Wigglesworth classification agreed well with the physicians except the panel attributed more deaths to infections (20%). The WHO verbal autopsy algorithm left 48% of deaths unclassified.CONCLUSIONS: Infant mortality in Egypt is showing an epidemiological transition with a significant decrease in mortality, resulting in a disproportionate percentage of deaths in the first week of life. Infant mortality in Egypt declined 64% from 124 per 1000 between 1974 and 1978 to 44 per 1000 between 1995 and 1999, the decline being greatest among older infants; 55% of all infant deaths occurred during the neonatal period. The neonatal mortality rate in this study was estimated to be 25 per 1000 live births.