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Acta Paediatr Scand ; 80(8-9): 749-55, Aug.-Sept. 1991.
Artigo em Inglês | MedCarib | ID: med-15919


A large population-based study of all stillbirths and neonatal deaths occurring on the island of Jamaica during a 12 month period is described. During this time, 2069 perinatal deaths were identified in an estimated total of 54,400 infants born giving a perinatal death rate of 38.0 per 1000 births. The death rate was 5 times higher among twins than singletons. An attempt was made to obtain detailed postmortem examination of as many cases as possible. In the event, 51 percent of the infants who died perinatally had such postmortem examination. Postmortem rate was affected by sex, multiplicity of the infant, time of death, month of death and area of delivery. Deaths were classified using the Wigglesworth scheme. The distribution of categories was similar in the months when the postmortem rate was 70 percent to the rest of the time period when the post-mortem rate was only 40 percent. The Wigglesworth classification of deaths identified those associated with intrapartum asphyxia as the most important group, accounting for over 40 percent of deaths overall and 59 percent of deaths of infants of more than 2500 g birthweight. Antepartum fetal deaths were the second largest group, comprising 20 percent of deaths. Sixty percent of the infants in this group weighted less than 2500 g at birth. Major malformations were responsible for few perinatal deaths in Jamaica. This simple classification is important as it focuses attention on details of labour and delivery that may require change and is useful in planning future delivery of obstetric and neonatal care. (AU)

Humanos , Recém-Nascido , Masculino , Feminino , Mortalidade Infantil , Asfixia Neonatal/mortalidade , Autopsia/estatística & dados numéricos , Peso ao Nascer , Hipóxia Fetal/mortalidade , Morte Fetal , Jamaica/epidemiologia , Gêmeos
Arch Dis Child ; 38(202): 589-95, Dec. 1963.
Artigo em Inglês | MedCarib | ID: med-15769


Examinations were carried out on 27 newborn infants dying with massive pulmonary haemorrhage. Pulmonary haemorrhage occurred in 8 percent of neonatal deaths in this hospital: 52 percent of cases died early in the neonatal period and 48 percent later. Anoxia was considered to be the main causal agent in the majority of early cases. In the later cases several factors were considered responsible.(AU)

Humanos , Recém-Nascido , Hemorragia , Pneumopatias/etiologia , Doenças do Recém-Nascido/etiologia , Morte Súbita , Hipóxia Fetal/complicações , Hipóxia Fetal/etiologia