Fetal Growth in Chinese

中國胎兒之發育

陳森輝(Shen-Hui Chen)

《Acta Paediatrica Sinica》 19卷2期 (1978/06) Pp. 93-109

摘要

嬰兒之死亡率和罹病率與出生嬰兒之大小，懷孕期間之長短，以及身體成熟情形有很大關係。未熟兒和出生體重比預期小的嬰兒在臨床上所遭遇到的問題亦不相同，因此了解嬰兒之大小和成熟程度在臨床上是很重要的。
本文以1973年至1977年間在國立臺灣大學醫學院附設醫院及省立護專婦幼衛生中心（臺北市）出生之24,188名單生活産嬰兒爲對象作胎兒發育之研究，其結果如下：
懷孕滿40週成熟嬰兒之平均出生體重，身長及頭圍各爲3,387公克，49,4公分及33.5公分，與日本嬰兒略爲相似，但比歐美人爲低。平均出生體重在最近10年來有明顯的增加。
嬰兒出生體重與胎次，母親年齡，身高及體重有正相關。
出生七天內之早期新生兒死亡率與出生體重和懷孕週數有密切關係，死亡率在出生體重低於2,500公克或懷孕週數低於37週之嬰兒顯著上升。在同樣低出生體重羣之嬰兒中，懷孕週數較長者其死亡率較低。

並列摘要

The intrauterine growth pattern of Chinese infants was studied on 24,188 single-born, live births at the National Taiwan University Hospital and the Maternal Child Health Center, in the Taipei City, during the five-year period 1973 through 1977.
The intrauterine growth in body weight, length and head circumference at the gestational ages of 26 to 44 weeks are presented in terms of the means with standard deviations as well as smoothed percentile values.
The mean birth weight, body length and head circumference at 40 weeks gestation were found to be 3,387 gm, 49.4 cm and 33.5 cm, respectively. These values are similar to those of Japanese, but lower than those of Caucasian babies. The birth weight has increased in the past 10 years as compared with the data previously reported. The birth weight varied significantly with the parity, body weight, height and age of the mother.
Early neonatal mortality correlated well with the birth weight, and gestational age. Mortality rose markedly when the birth weight was below 2,500 gm and the gestational age was less than 37 weeks. Infants with a longer gestational age in the same low birth weight group had, however, a significantly lower mortality. Intrauterine growth charts are therefore useful for prognostic evaluation of the newborn.

並列關鍵字

intrauterine fetal growth ； gestational age ； maternal size ； neonatal mortality