BIRTH-WEIGHT, PRETERM BIRTHS AND NEONATAL-MORTALITY IN BELGIUM AND THE UNITED-STATES
BIRTH-WEIGHT, PRETERM BIRTHS AND NEONATAL-MORTALITY IN BELGIUM AND THE UNITED-STATES
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DOI：
10.1111/j.1365-3016.1995.tb00143.x
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发表时间：
1995-07-01
影响因子：
2.8
通讯作者：
MASUYSTROOBANT, G
中科院分区：
文献类型：
--
作者：
BUEKENS, P;WILCOX, AJ;MASUYSTROOBANT, G
众所周知，比利时的低出生体重率和婴儿死亡率低于美国。我们使用以前未发表的数据来表明，在这种比较之下，存在一个更复杂的情况。对1986- 1987年的单胎活产出生证明进行了分析。尽管比利时的平均出生体重（3360 g）低于美国（3420 g），但比利时的低出生体重婴儿（4.9%）少于美国（5.9%），因为早产较少（4.4 vs. 9.3%）。与美国早产率过高一致，比利时出生体重的剩余分布较小（2.2% vs 3.1%）。比利时的新生儿死亡率为4.8/1000，美国为5.6/1000，但比利时的出生体重特异性新生儿死亡率更高。比利时面临的挑战是提高新生儿的存活率，无论其出生体重如何。在美国，任务是消除过多的小早产儿。
Belgium is known to have a lesser low birthweight rate and a lower infant mortality rate than the United States. We used previously unpublished data to show that beneath this comparison lies a more complicated picture. Singleton live birth certificates for 1986-87 were analysed. Despite a lower mean birthweight in Belgium (3360 g) than in the United States (3420 g), Belgium had fewer (4.9%) low birthweight infants than the US (5.9%) because of fewer preterm births (4.4 vs. 9.3%). Consistent with the excess of preterm births in the US, the residual distribution of birthweight was smaller in Belgium (2.2% vs. 3.1%). Whereas neonatal mortality was 4.8/1000 in Belgium and 5.6/1000 in the US, birthweight-specific neonatal mortality was higher in Belgium. The challenge for Belgium is to improve the survival of newborns regardless of their birthweight. In the US, the task is to eliminate the excess of small preterm infants.