Maternal and newborn outcomes at a tertiary care hospital in Lusaka, Zambia, 2008-2012.
Maternal and newborn outcomes at a tertiary care hospital in Lusaka, Zambia, 2008-2012.
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赞比亚卢萨卡一家三级医院的孕产妇和新生儿结局，2008 年至 2012 年。
DOI：
10.1002/ijgo.12036
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发表时间：
2017-02
期刊：
影响因子：
--
通讯作者：
Chi BH
中科院分区：
文献类型：
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作者：
Vwalika B;Stoner MC;Mwanahamuntu M;Liu KC;Kaunda E;Tshuma GG;Somwe SW;Ahmed Y;Stringer EM;Stringer JS;Chi BH
衡量赞比亚一家三级医院5年期间记录的关键产科和新生儿结局。对2008年1月1日至2012年12月31日期间在卢萨卡大学教学医院分娩的妇女进行了回顾性分析。从电子病历中提取数据。主要结局为产妇死亡率、剖宫产、产前或产时出血、死产、5分钟Apgar评分低于7分和入住新生儿重症监护室。共录得六万二千四百七十宗分娩个案。产妇死亡率、剖腹产率和妊娠期出血率都随着时间的推移而下降。据观察，新生儿重症监护室的入院人数有所减少;然而，2011年底和2012年初，这一比例暂时上升，然后又恢复到以前的水平。随着时间的推移，死胎的比例保持稳定，但5分钟阿普加评分低于7分的报告有所上升。收集的产科和新生儿数据可以帮助正在进行的项目监测，并应用于指导质量改进活动。
To measure key obstetric and neonatal outcomes recorded at a tertiary hospital in Zambia over a 5-year period. A retrospective analysis was conducted among women who had delivered at the University Teaching Hospital in Lusaka, between January 1, 2008, and December 31, 2012. Data were extracted from electronic medical records. The main outcomes were maternal mortality, cesarean delivery, prenatal or intrapartum hemorrhage, stillbirth, a 5-minute Apgar score of less than 7, and admission to the neonatal intensive care unit. A total of 62 470 deliveries were recorded. Rates of maternal mortality, cesarean delivery, and hemorrhage during pregnancy all declined over time. Decreased admissions to the neonatal intensive care unit were observed; however, the rate spiked temporarily in late 2011 and early 2012 before returning to previous levels. The proportion of stillbirths remained stable over time but reports of a 5-minute Apgar score of less than 7 rose. Routinely collected obstetric and neonatal data could aid ongoing program monitoring and should be used to guide quality improvement activities.