A RETROSPECTIVE STUDY OF NEONATAL MORTALITY DURING 1990--2000
YANG Jiangfan
Maternity and Child
Healthcare Hospital of Jiaxing City, Jiaxing, China
Objective: To investigate
the influence on neonatal mortality rate (NMR) by setting up neonatal division
and neonatal intensive care unit (NICU) in local perinatal center.
Methods: Jiaxing Maternal
and Child Healthcare hospital was confirmed as one of the first group friendly
baby hospital in China in 1992.(1) Investigating and comparing: 17283
newborns during Jan 1,1990 to Dec 31,1992 ,before setting up NICU were
enrolled as the group A.32716 newborns during Jan 1, 1993 to Dec, 31, 2000,
after setting up NICU were enrolled as the group B. We compared NMR,
survival rate of very low birth weight (VLBW) and triplet, quadruplet
between group A and B. (2) Investigating NMR and survival rate of VLBW and
multiple pregnancy in the process of NICU development. (3) NMR in that
locality after the NICU opened to public.
Results: (1) NMR: 8.62
in group A and 3.00in group B. Correctional
mortality was 6.36 and
1.74 respectively. X2
=71.33, p<0.01. Survival rate of VLBW was 39.3% in group A, 87.6% in
group B. One quadruplet and 7 triplets were all survived after setting up
NICU. (2) NMR was 4,51
in 1993, the first year of NICU, 3.47
in 1994~1997, 1.39 in
1998--2000. Correctional mortality was 3.19 2.02 0.49respectively. Survival
rate of VLBW was 70.8%, 91.2% and 92.5% respectively. (3) Annual NMR in the
5 years after NICU opened to public was 4.02~4.24in downtown area ,6.46~8.32 in that suburbs. The NMR
of this city was 5.35in 2000.
Conclusion:
NMR has decreased by 5.62since
NICU was set up. VLBW survival rate has increased by 48.3%, triplets and
quadruplet survival rate are 100%. With development of NICU, mortality of
newborn and VLBW reduced progressively. The downtown areas NMR is in
advanced level in China.