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Current situation investigation and analysis of SGA in China

WANG Qing-hong,YANG Yu-jia,WEI Ke-lun,DU Li-zhong.The Subspecialty Group of Neonatology,Pediatric Society,Chinese Medical Association  
Objective To investigate the current situation of small for gestational age infants(SGA) in China.Methods The data were from the 86 hospitals in 22 provinces of China.A retrospective investigation was carried out in 45 014 cases from Obstetric Departments and 54 466 cases from newborn nursery between Jan.1 and Dec.31 of 2005.Results(1) The incidence of SGA was 6.61% in 2005,in which the incidence of SGA in preterms(13.10 %) is higher than full terms(6.05 %).(2) The number of SGA accounted for 9.19 % of hospitalized neonates in newborn nursery.(3) The ratio of asphyxia,RDS,pulmonary hemorrhage,apnea,HIE,gastric retention,alimentary tract hemorrhage,NEC,cold injury,and congenital malformation in SGA were higher than in appropriate for gestational age(AGA) and large for gestational age infants(LGA).(4) About 57.47 % of hospitalized neonates were cured,27.41 % were improved and 1.95 % died.The mortality of SGA was higher than AGA and LGA,and the rate of cure and improvement was lower than AGA and LGA.Conclusion The mobidity and mortality of SGA are still high in China.Perinatal monitoring and intervention should be enhanced in our country.
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