Cause of Fetal Death: Data From the Fetal Death Report, 2014.

Cause of Fetal Death: Data From the Fetal Death Report, 2014.
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胎儿死亡原因:2014 年胎儿死亡报告中的数据。

DOI:
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发表时间:
2016
影响因子:
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通讯作者:
Elizabeth C W Gregory
Elizabeth C W Gregory
中科院分区:
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文献类型:
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作者:
D. Hoyert;Elizabeth C W Gregory

文献摘要

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目的:本报告首次介绍了按产妇年龄、西班牙裔和种族、胎儿性别、妊娠期和出生体重等选定特征分类的胎儿死亡原因数据。方法:对2003年《美国胎儿死亡标准报告》中收集的胎儿死亡数据的描述性表格,介绍了在35个州、纽约市和哥伦比亚特区的报告区域内发生在妊娠20周及以上的胎儿死亡。这个地区占美国胎儿死亡的66%。死亡原因是根据《疾病和有关健康问题国际统计分类第十次修订版》处理的。报告了2014年的最终数据。结果:报告地区的胎儿死亡中,有5种原因占90%左右:原因不明的胎儿死亡;胎盘、脐带和膜并发症对胎儿的影响;孕妇妊娠并发症对胎儿的影响;先天性畸形、畸形和染色体异常;胎儿可能受到与当前妊娠无关的母体疾病的影响。结论——生命记录中报告的胎儿死亡原因数据不受严格控制的研究方案的约束,但与其他研究相比,它们为全国更大比例的研究提供了数据。虽然在检查的母胎特征中选择的原因之间存在有限的变化,但观察到的许多变化与研究文献中记录的关联一致。
Objectives-This report presents, for the first time, data on cause of fetal death by selected characteristics such as maternal age, Hispanic origin and race, fetal sex, period of gestation, and birthweight. Methods-Descriptive tabulations of data collected on the 2003 U.S. Standard Report of Fetal Death are presented for fetal deaths occurring at 20 weeks of gestation or more in a reporting area of 35 states, New York City, and the District of Columbia. This area represents 66% of fetal deaths in the United States. Causes of death are processed in accordance with the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision. Final data for 2014 are reported. Results-Five selected causes account for about 90% of fetal deaths in the reporting area: Fetal death of unspecified cause; Fetus affected by complications of placenta, cord and membranes; Fetus affected by maternal complications of pregnancy; Congenital malformations, deformations and chromosomal abnormalities; and Fetus affected by maternal conditions that may be unrelated to present pregnancy. Conclusions-Cause-of-fetal-death data reported on vital records are not subject to tightly controlled study protocols, but they provide data for a larger proportion of the country than other studies. While there was limited variation among the selected causes across the maternal and fetal characteristics examined, many variations observed are consistent with associations that have been documented in research literature.