Dangers of death on the first day of life by the minute

作者：Auger N^*; Bilodeau Bertrand M; Nuyt A M

来源：Journal of Perinatology, 2015, 35(11): 958-964.

DOI：10.1038/jp.2015.107

OBJECTIVE: To evaluate mortality on the first day of life by minute and hour, and examine changes in major causes of death in the past three decades.
STUDY DESIGN: We evaluated mortality on the first day of life by the hour (0, 1,., 23 h), and in the first hour by 5-min block (0-4, 5-9,., 55-59 min) using data on cause of death for 15 690 infants in Canada from 1981 to 2012.
RESULTS: Infant mortality on the first day declined from 2.60 per 1000 in the 1980s to 1.26 in the 2000s. The decline was greater at 6-23 h than at 0-5 h of life, and among infants with congenital anomalies compared with prematurity and birth asphyxia.
CONCLUSION: Infant mortality is highest on the first day of life. More focus on prematurity and birth asphyxia in the first 5 h of life is needed to improve infant mortality.

• 出版日期2015-11