1. Intrauterine pneumonia in relation to birth weight and race
- Author
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Toshio Fujikura and Luz A. Froehlich
- Subjects
Pediatrics ,medicine.medical_specialty ,business.industry ,Incidence (epidemiology) ,Birth weight ,Infant, Newborn ,Obstetrics and Gynecology ,INFECTIOUS PROCESS ,Pneumonia ,Chorioamnionitis ,medicine.disease ,Intrauterine pneumonia ,Infant, Newborn, Diseases ,Acute Chorioamnionitis ,Fetal Diseases ,Pregnancy ,Infant Mortality ,Medicine ,Birth Weight ,Humans ,Female ,Neonatal death ,business ,Ethnology - Abstract
Intrauterine pneumonia remains a common and often fatal infectious process despite the advent of antibiotics. Acute chorioamnionitis is generally accepted as its frequent precursor. In a histologic evaluation of the pulmonary sections of 512 neonatal deaths within the first 48 hours of life out of 36,212 single live births, 100 or 19.5 per cent were found to have pneumonia. The proportion of neonatal deaths showing pneumonia was higher in the Negro (27.7 per cent) than in the white (11.3 per cent) and consistently higher in the Negro at each birth weight interval. The association of pneumonia and chorioamnionitis was more pronounced in the Negro (50.7 per cent) than the white (28.0 per cent). In the white the incidence of pneumonia was higher in mature (birth weight over 2,500 grams) than in premature infants; in the Negro it was not higher in prematures compared to mature infants. This is in contrast to chorioamnionitis, which is more common in premature births.
- Published
- 1967