Analysis of 51 528 cases of perinatal birth defect monitoring in Hakka, Guangxi Zhuang Autonomous Region

Abstract

Objective To investigate and analyze the monitoring status of birth defects of perinatal infants in Hakka of Guangxi Zhuang Autonomous Region, and to provide evidence for reducing the incidence of birth defects and improving prevention decision for the quality of birth. Methods The data of 51 528 cases of perinatal birth defects monitoring were analyzed in Bobai and Luchuan counties in 2015. Results The distribution of birth defects in the perinatal infants of Hakka was more than 75.14%, 28.8% of the birth defects occurred in 28 weeks, 51 528 cases of perinatal birth in hospital, birth defects of ≥28 weeks in 384 cases.The incidence rate of birth defects was 28.5%, the rate of birth was 7.45‰.The birth defect of ≥28 weeks was diagnosed, 35 cases were fetal edema syndrome, accounted for 9.11%.34 cases were congenital heart disease, accounted for 8.85%, 30 cases were cleft lip with cleft palate, accounted for 7.81%.Congenital hydrocephalus in 5 cases, accounted for 1.30%; other in 251 cases, accounted for 65.35%.The diagnosed time distribution of birth defects of ≥28 weeks: prenatal diagnosis accounted for 21.18%, postnatal 7 days accounted for 78.82%.The outcome of ≥28 weeks of perinatal birth defects in Hakka: live birth accounted for 73.18%, fetal death accounted for 20.57%, stillbirth accounted for 1.30%, seven days of death accounted for 4.94%. Conclusion The perinatal birth defects in Hakka is live births to the main, the prevention of perinatal birth defects in children live birth measures should be strengthened, the detection of birth defects should be strengthened and the pregnancy of artificial birth defects should be terminated, so as to improve the quality of the birth population. Key words: Birth defects; Hakka; Perinatal; Perinatal care; Perinata