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Article: Early child health in Lahore, Pakistan: IX. Perinatal events

TitleEarly child health in Lahore, Pakistan: IX. Perinatal events
Authors
Keywordsbirth length
birth weight
developing country
maternal factors
maternal height
maternal weight
mortality
perinatal events
Issue Date1993
Citation
Acta Paediatrica, International Journal Of Paediatrics, Supplement, 1993, v. 82 n. 390, p. 95-107 How to Cite?
AbstractIn Pakistan there are a number of acute problems related to maternal and infant health in the perinatal period. There is also lack of reliable data needed for the formulation of action strategies. To provide a database 1490 women have been followed from the 5th month of pregnancy in four different areas at various levels of urbanization and socio-economic development. After adjusting for gestational age, the proportion of newborns with weight for length <-2SDS in relation to the Swedish National Standard was 12-31% for boys and 12-25% for girls, the figure being highest in the most deprived area. Preterm birth was infrequent compared with IUGR. The overall prevalence rate of birth defects was 21% out of which 8% were severe defects. The overall perinatal mortality rate was 56/1000 births, with rates of 60, 75, 36 and 33/1000 births for the village, periurban slum, urban slum and the upper middle class. Two thirds of the deaths were related to either a continuation of intrauterine disturbances or severe congenital defects incompatible with life. One third of the deaths were due to infection; mostly diarrhoea, clinical sepsis and ARI. Neonatal mortality was significantly related to birth length (<-2SDS, odds ratio 5.5) and length of gestation (<37 weeks, odds ratio 5.6) and was to a lesser extent related to weight (<-2SDS, odds ratio 2.0) and weight for length (<-2SDS, odds ratio 1.3). Forty percent of the mothers had weight for height below -2SDS, 23-35% had height <-2SDS. Forty percent of mothers from a subset within the cohort had a hemoglobin <10 gm/dl and 20% showed signs of pre-eclampsia. This presentation raises the issue of expanding the current Child Survival Programs into the perinatal period as well.
Persistent Identifierhttp://hdl.handle.net/10722/79960
ISSN
2014 SCImago Journal Rankings: 0.123
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorJalil, Fen_HK
dc.contributor.authorLindblad, BSen_HK
dc.contributor.authorHanson, LAen_HK
dc.contributor.authorKhan, SRen_HK
dc.contributor.authorYaqoob, Men_HK
dc.contributor.authorKarlberg, Jen_HK
dc.date.accessioned2010-09-06T08:00:46Z-
dc.date.available2010-09-06T08:00:46Z-
dc.date.issued1993en_HK
dc.identifier.citationActa Paediatrica, International Journal Of Paediatrics, Supplement, 1993, v. 82 n. 390, p. 95-107en_HK
dc.identifier.issn0803-5326en_HK
dc.identifier.urihttp://hdl.handle.net/10722/79960-
dc.description.abstractIn Pakistan there are a number of acute problems related to maternal and infant health in the perinatal period. There is also lack of reliable data needed for the formulation of action strategies. To provide a database 1490 women have been followed from the 5th month of pregnancy in four different areas at various levels of urbanization and socio-economic development. After adjusting for gestational age, the proportion of newborns with weight for length <-2SDS in relation to the Swedish National Standard was 12-31% for boys and 12-25% for girls, the figure being highest in the most deprived area. Preterm birth was infrequent compared with IUGR. The overall prevalence rate of birth defects was 21% out of which 8% were severe defects. The overall perinatal mortality rate was 56/1000 births, with rates of 60, 75, 36 and 33/1000 births for the village, periurban slum, urban slum and the upper middle class. Two thirds of the deaths were related to either a continuation of intrauterine disturbances or severe congenital defects incompatible with life. One third of the deaths were due to infection; mostly diarrhoea, clinical sepsis and ARI. Neonatal mortality was significantly related to birth length (<-2SDS, odds ratio 5.5) and length of gestation (<37 weeks, odds ratio 5.6) and was to a lesser extent related to weight (<-2SDS, odds ratio 2.0) and weight for length (<-2SDS, odds ratio 1.3). Forty percent of the mothers had weight for height below -2SDS, 23-35% had height <-2SDS. Forty percent of mothers from a subset within the cohort had a hemoglobin <10 gm/dl and 20% showed signs of pre-eclampsia. This presentation raises the issue of expanding the current Child Survival Programs into the perinatal period as well.en_HK
dc.languageengen_HK
dc.relation.ispartofActa Paediatrica, International Journal of Paediatrics, Supplementen_HK
dc.subjectbirth lengthen_HK
dc.subjectbirth weighten_HK
dc.subjectdeveloping countryen_HK
dc.subjectmaternal factorsen_HK
dc.subjectmaternal heighten_HK
dc.subjectmaternal weighten_HK
dc.subjectmortalityen_HK
dc.subjectperinatal eventsen_HK
dc.titleEarly child health in Lahore, Pakistan: IX. Perinatal eventsen_HK
dc.typeArticleen_HK
dc.identifier.emailKarlberg, J: jpekarl@hkucc.hku.hken_HK
dc.identifier.authorityKarlberg, J=rp00400en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.pmid8219471-
dc.identifier.scopuseid_2-s2.0-0027156774en_HK
dc.identifier.hkuros30229en_HK
dc.identifier.volume82en_HK
dc.identifier.issue390en_HK
dc.identifier.spage95en_HK
dc.identifier.epage107en_HK
dc.identifier.isiWOS:A1993MB05200010-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridJalil, F=7004018034en_HK
dc.identifier.scopusauthoridLindblad, BS=7101686934en_HK
dc.identifier.scopusauthoridHanson, LA=7201657486en_HK
dc.identifier.scopusauthoridKhan, SR=7404042716en_HK
dc.identifier.scopusauthoridYaqoob, M=55339406200en_HK
dc.identifier.scopusauthoridKarlberg, J=7005218406en_HK

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