ArticleBMC pregnancy and childbirth2019
High risk pregnancy associated perinatal morbidity and mortality: a second birth population-based survey in Huai'an in 2015.
Article in BMC pregnancy and childbirth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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7 citing papers in PubMed, 39 citations in OpenAlex.
- Census block based loglinear regression analysis of health and social determinants of maternal mortality in Indonesia 2010-2021.Scientific reports · 2025Article
- Outcome of neonatal hypoxemic respiratory failure: a livebirth population-based retrospective survey.BMC pediatrics · 2022Article
- Perinatal Risks of Neonatal and Infant Mortalities in a Sub-provincial Region of China: A Livebirth Population-based Cohort Study.BMC pregnancy and childbirth · 2022Article
- A birth population-based survey of preterm morbidity and mortality by gestational age.BMC pregnancy and childbirth · 2021Article
- [A multicenter study of the birth condition of preterm infants and the causes of preterm birth in Henan Province, China].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2021Article
- Article
- Breastfeeding patterns in cohort infants at a high-risk fetal, neonatal and child referral center in Brazil: a correspondence analysis.BMC pediatrics · 2020Article
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17 authors at 4 institutions in 1 country.
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Abstract
backgroundThe objective of this survey was to explore the association between pregnancy complications and perinatal outcome from regionally total birth population.
methodsIn this prospectively collected data of complete birth registries from all level I-III hospitals in Huai'an in 2015, perinatal morbidity and mortality in relation to pregnancy complications and perinatal outcome were analyzed using international definitions. The results were compared with that of 2010 survey in the same region.
resultsOf 59,424 total births in the hospitals of level I (n = 85), II (16) and III (6), delivery rate was 30.4, 40.1 and 29.5%, and rates of pregnancy complications were 12.9, 9.8 and 21.1% (average 14.1%), with antenatal corticosteroids rate in < 37 gestational weeks being 17.3, 31.0 and 39.9% (mean 36.6%), respectively. The preterm birth rate was 0.6, 2.7 and 9.5% (mean 4.06%), and the composite rate of fetal death, stillbirth, and death immediately after delivery was 0.1, 0.4 and 0.6%, respectively. By multivariable logistic regression analysis, congenital anomalies, low Apgar scores, multi-pregnancy and amniotic fluid contamination were risk factors of adverse perinatal outcomes. Despite a higher rate of pregnancy complications than in 2010 survey, perinatal and neonatal mortality continued to fall, in particular in very preterm births. The high cesarean delivery rate in non-medically indicated cases remained a challenge.
conclusionsOur regional birth-population data in 2015 revealed a robust and persistent improvement in the perinatal care and management of high risk pregnancies and deliveries, which should enable more studies using similar concept and protocol for vital statistics to verify the reliability and feasibility.
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