低出生体重和不良围产期结局

Melaku Desta
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引用次数: 4

摘要

在全球范围内,每年所有新生儿中估计有15-20%为低出生体重儿。低出生体重是在新生儿和新生儿后期死亡和发病率的风险更大。因此,本章旨在强调低出生体重的患病率,预测因素和不良围产期结局,以及各自可能的预防模式。社会人口、产科(既往流产、高血压疾病、产前检查和早产)和营养因素增加了低出生体重的风险。低出生体重新生儿与不良的围产期和儿童期结局相关:低阿普加评分、新生儿死亡、营养不良、学业和精神障碍。改善对既往或近期发病、妊娠高血压疾病和早产妇女的护理应作为优先事项,以减少低出生体重及其不良围产期结局。还建议将心理健康纳入产前检查,改善对高危孕妇的护理,以及以社区为基础的袋鼠妈妈护理做法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Low Birth Weight and Adverse Perinatal Outcomes
Globally, annually an estimated 15–20% of all births are low birth weight (LBW). Low birth weights are at a greater risk of neonatal and postneonatal mortality and morbidities. Therefore, this chapter is aimed to highlight the prevalence of low birth weight, predictors and adverse perinatal outcomes, and the respective possible prevention modalities. Sociodemographic, obstetric (previous abortion, hypertensive disorder, antenatal visits, and prematurity), and nutritional factors increased the risk of low birth weight. Low birth weight neonates were associated with adverse perinatal and childhood outcomes: low Apgar score, neonatal death, malnutrition, academic, and mental disorders. Improving the care of women who have previous or recent morbidities, hypertensive disorders of pregnancy, and prematurity should be priorities aimed at reducing low birth weight and its adverse perinatal outcomes. Incorporating mental health in the prenatal visit, improving the care for a high-risk pregnant woman, and community-based kangaroo mother care practice were also recommended.
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