CAUSES OF LOW-BIRTH-WEIGHT BIRTHS IN PUBLIC AND PRIVATE PATIENTS

CAUSES OF LOW-BIRTH-WEIGHT BIRTHS IN PUBLIC AND PRIVATE PATIENTS
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DOI:
10.1016/0002-9378(87)90133-5
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发表时间:
1987-05-01
影响因子:
9.8
通讯作者:
MOORE, ML
MOORE, ML
中科院分区:
医学1区
文献类型:
--
作者:
MEIS, PJ;ERNEST, JM;MOORE, ML

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这项对两个模型人群中低出生体重儿出生原因的检查发现,两组人群中低出生体重儿出生的原因存在显著差异。特发性早产占私人低出生体重儿的47.1%,而在公共分娩中仅占24.8%;公共低出生体重儿低出生体重儿(26.7%)和胎膜早破(33.7%)的发生率高于私人分娩(分别为13.8%和23.0%)。医疗问题与16.1%的私人出生和14.9%的公共低出生体重儿有关。由于目前的早产预防方法最有可能预防与特发性早产有关的低出生体重儿,这种计划在降低低出生体重儿出生率方面的相对成功可能取决于该计划针对的患者群体的特征。
This examination of the cause of low birth weight births in two model populations, one of public and one of private patients, finds significant differences in the reasons for low birth weight births in the two groups. Idiopathic premature labor was related to 47.1% of private low birth weight births, but only 24.8% of public births; low birth weight term (26.7%) and premature rupture of fetal membranes (33.7%) were more common in public low birth weight births than in private births (13.8% and 23.0%, respectively). Medical problems were related to 16.1% of private and 14.9% of public low birth weight births. Since current prematurity prevention methods are most likely to prevent low birth weight births related to idiopathic premature labor, the relative success of such programs in reducing the rate of low birth weight births is likely to depend on the characteristics of the patient population to which the programs are directed.