顺德地区出生信息分析

Analysis on birth information in Shunde district

目的 分析广东省佛山市顺德区围产儿出生情况,为政府制定相应卫生政策提供依据.方法 根据国家出生缺陷医院监测方案的要求,分析2013年1月1日~2018年12月31日广东省佛山市顺德区辖区监测医院分娩的满28周~产后7d内的围产儿母婴信息和出生缺陷资料.结果 (1)观察期间共41108例新生儿出生,男52.9%,女47.1%,足月产出生人数最多,占90.3%,而早产儿占9.6%,过期产儿占0.1%,出生体重正常占68.1%,低出生体重占6.4%,巨大儿占2.0%,出生身长50cm的人数最多,活产数占96.9%;(2)母亲年龄不详占35.4%,已婚女士占89.6%,现住址以广东省占89.6%,无业人员占44.3%,孕次不详占9.0%,少于2次占31.6%,2次的占31.6%,大于3次的占27.8%,产次不详占9.0%,少于2次的占42.9%,2次的占42.6%,大于3次的占5.5%,分娩方式不详的9.0%,阴道产的占58.1%;(3)其中上报新生儿缺陷共309例,占总出生人数0.75%,其缺陷类型涉及多个系统器官.结论 广东省佛山市顺德区分娩量呈逐年增长趋势,出生缺陷数量呈明显增加趋势,需进一步分析遗传和环境对出生缺陷的影响,提高出生缺陷诊断率,加强干预措施,降低出生缺陷.

Objective To analyze the perinatal births in Shunde district,Foshan city,Guangdong province,and to provide basis for the government to formulate corresponding health policies. Methods According to the requirements of the national hospital monitoring program for birth defects,the maternal and infant information and birth defects data of perinatal infants with 28 weeks or more of gestion to 7 days after delivery delivered in monitoring hospitals of Shunde district,Foshan city,Guangdong province from January 1,2013 to December 31,2018 were analyzed. Results(1)A total of 41,108 neonates were born during the observation period,of which 52.9% were males and 47.1% were females.The number of full-term births was the highest,accounting for 90.3%,while premature neonates accounted for 9.6%, postterm infant was 0.1%,neonates with normal birth weight accounted for 68.1%,neonates with low birth weight accounted for 6.4% and macrosomia accounted for 2.0%. Meanwhile, the number of live births with a birth length of 50 cm was the highest, accounting for 96.9%.(2)35.4% of mothers were unknown in age,89.6% of them were married women,89.6% of them currently live in Guangdong province,and 44.3% of them were unemployed.9.0% of them were unknown in gravidity,mothers with gravidity less than 2 times accounted for 31.6%;with gravidity of 2 times for 31.6%;with gravidity more than 3 times for 27.8%.Meanwhile,9.0% of them were unknown in parity,mothers with parity less than 2 times accounted for 42.9%;with parity of 2 times for 42.6%;with parity more than 3 times for 27.8%.9.0% of them were unknown in delivery method,and 58.1% of them delivered vaginally.(3)Among them,309 cases of neonatal defects were reported,accounting for 0.75% of the total number of births and multiple system organs were involved in the defect types. Conclusion The number of births in Shunde district, Foshan city,Guangdong province is increasing year by year,and the number of birth defects is obviously increasing.It is necessary to further analyze the impacts of heredity and environment on birth defects to improve the diagnosis rate of birth defects and strengthen intervention measures to reduce birth defects.