RESUMO
Using a computer-stored database, birthweights and related variables over 25,000 infants born in Amsterdam (The Netherlands) were analysed retrospectively. Only after allowing for maternal height, did the difference between mean birthweights of Dutch and Asian infants disappear, whereas Negroid and Mediterranean infants continued to show respectively lower and higher means than the others. These results confirm that the birthweight standards presently used are inappropriate for detection of deviant weight in non-Dutch groups.
Assuntos
Peso ao Nascer , Etnicidade , População Negra , Estatura , Bases de Dados Factuais , Feminino , Humanos , Incidência , Recém-Nascido de Baixo Peso , Recém-Nascido , Marrocos/etnologia , Países Baixos/epidemiologia , Paridade , Valores de Referência , Suriname/etnologia , Turquia/etnologiaRESUMO
In Curaçao a systematic and comprehensive investigation of numerous factors, potentially associated with an increased risk of foetal and neonatal mortality, was carried out in a 2-year period (1984-85). The inquiry was restricted to singleton births. Data on 205 women who experienced pregnancy loss were compared with those on 913 women who did not sustain foetal or neonatal loss. Data comprised information on maternal characteristics, clinical course of pregnancy and delivery, and neonatal characteristics. Of 130 factors measured, 14 were entered into a multivariate analysis. From the analysis 5 risk factors emerged as significant predictors of mortality: gestational age, birth weight, sex, foetal presentation and congenital anomalies. Factors such as social class, marital status, maternal age and parity were not associated with an increased risk of foetal and neonatal mortality in Curaçao.
Assuntos
Morte Fetal/epidemiologia , Mortalidade Infantil , Adulto , Análise de Variância , Parto Obstétrico , Feminino , Humanos , Recém-Nascido , Estilo de Vida , Gravidez , Fatores de Risco , Fatores Socioeconômicos , Índias OcidentaisRESUMO
In Curacao a systematic and comprehensive investigation of numerous factors, potentially associated with an increased risk of foetal and neontal mortality, was carried out in a 2-year period (1984-85). The inquiry was restricted to singleton births. Data on 205 women who experienced pregnancy loss were compared with those on 913 women who did not sustain foetal or noenatal loss. Data comprised information on maternal characteristics, clinical course of pregnancy and delivery, and neonatal characteristics. Of 130 factors measured, 14 were entered into a multivirate analysis. From the analysis 5 risk factors emerged as significant predictors of mortality: gestational age, birth weight, sex, foetal presentation and congenital anomalies. Factors such as social class, marital status, maternal age and parity were not associated with an increased risk of foetal and neontal mortality in Curacao. (AU)
Assuntos
Humanos , Gravidez , Recém-Nascido , Adulto , Feminino , Morte Fetal/epidemiologia , Mortalidade Infantil , Análise de Variância , Parto Obstétrico , Estilo de Vida , Fatores de Risco , Fatores Socioeconômicos , Índias OcidentaisRESUMO
The Perinatal Mortality Rate (PNMR) is considered to be an indicator of perinatal health. To ascertain the validity of the perinatal mortality statistics in Curacao, medical records and death certificates were reviewed over a five year period. Using a birth weight of 1,000 gm as a cut-off point, 366 foetal and first-week deaths were recovered from the statutory death certificates. Using similar criteria, 19 perinatal deaths, identified in the medical records, were not registered as such on the death certificates (registration failure 4.9 percent). Hence, the revised annual PNMR ranged from 19.0 to 31.2 per 1,000 births during the period 1979-1983. Additionally, the contribution of low birth weight (LBW)(<2,500gm) to perinatal mortality was examined during 1984-1985. LBW was associated with 68.6 percent of all perinatal deaths using a birth weight of 500gm as truncation point. However, it is argued that the high proportion of LBW to perinatal mortality is not the result of an adverse birth weight distribution of the Curacao population (AU)
Assuntos
Humanos , Recém-Nascido , Mortalidade Infantil , Atestado de Óbito , Recém-Nascido de Baixo Peso , Prontuários Médicos , Antilhas HolandesasRESUMO
A detailed clinicopathological analysis of 223 consecutive fetal and neonatal deaths was carried out in Curaçao during 1984 and 1985; this included careful histological examination of 210 infants (94%). The crude death rate was 34.2 per 1000 total births. Malformation was the principal cause of death in 28 cases, antepartum haemorrhage in 19, hypertension in 25, and asphyxia in 35. Death was caused by problems of preterm birth in 68 cases. No specific cause could be found for 34 deaths. Improvement in the quality of obstetric care might substantially reduce both fetal and neonatal death rates.