中国全科医学2016，Vol.19Issue(32)：3979-3982,3983,5.DOI:10.3969/j.issn.1007-9572.2016.32.016
2014年北京市低出生体质量儿和巨大儿发生现状及其影响因素调查研究
Occurrence Status and Root Cause Analysis of Low Birth Weight and Fetal Macrosomia of Beijing in 2014
黄丽丽 1贾朝霞 1赵永鲜 1王朝 1王军华 1蒋京伟 1武明辉1
作者信息
- 1. 100026北京市，首都医科大学附属北京妇产医院群体信息科
- 折叠
摘要
Abstract
Background Neonatal birth weight is an important index to measure the growth and development of fetus in the uterus, and it plays an important role in predicting the health condition, growth and development of the newborn in childhood.There are many studies exploring the risk factors of low birth weight and macrosomia, however, there are few studies collecting data in large cities like Beijing.Objective To investigate the distribution of neonatal birth weight in Beijing, and analyze the risk factors that affect the incidence of low birth weight and macrosomia.Methods We selected the infants born in 2014 with certificate of live birth from medical birth information database of Beijing maternal and child health information system, and extracted their medical information, including newborn′s gender, birth weight, gestational age at birth, region of birth, and mother′s maternal age, fetal number and place of household registry.Results We collected 269 609 cases of newborns′medical information.The average birth weight of the newborn boys was (3 398 ±489) g, and that of girls was (3 294 ±471) g.There were 10 753 (3.99%) cases of newborns with low birth weight and 21 685 (8.04%) cases with macrosomia.The incidences of low birth weight and macrosomia between different newborn′s gender, gestational age at birth and region of birth were significantly different ( P<0.05 ); the incidences of low birth weight and macrosomia between different mother′s maternal age, fetal number and place of household registry were also significantly different ( P <0.05 ) . The results of multivariate Logistic regression analysis indicated that girl, premature infant, born in urban area, maternal age below 25 years old and multiple fetuses were the risk factors for low birth weight; boy, postmature infant, born in suburb or exurb, maternal age over 34 years old, single fetus and non-Beijing household registrant were the risk factors for macrosomia (P<0.05).Conclusion The incidence of low birth weight is relatively low, whereas that of macrosomia is relatively high in Beijing for the year 2014. Newborn′s gender, gestational age at birth, region of birth, mother′s maternal age and fetal number are the root causes for newborn′s abnormal birth weight.关键词
婴儿, 出生时低体重/巨大胎儿/影响因素分析/北京Key words
Infant, low birth weight/Fetal macrosomia/Root cause analysis/Beijing分类
医药卫生引用本文复制引用
黄丽丽,贾朝霞,赵永鲜,王朝,王军华,蒋京伟,武明辉..2014年北京市低出生体质量儿和巨大儿发生现状及其影响因素调查研究[J].中国全科医学,2016,19(32):3979-3982,3983,5.
