Study On The Prevalence Status And Influencing Factors Of649Newborn Of Neonatal Toxic Erythema In A Hospital In Changchun

Neonatal toxic erythema is also known as neonatal, neonatal allergic erythema,neonatal erythema. It is a common neonatal period, the incidence rate is about30%-70%. China reports on neonatal erythema were less, remained mostly on theenvironmental factors of maternal and neonatal initial state before and after theproduction of individual factors. They were lack of clinical work practice. This studyintends to investigate the production of hospital maternity and infants, throughquestionnaires and blood biochemical examination, describe the prevalence ofneonatal erythema, explore its possible influencing factors, and propose appropriatecare recommendations for different type of maternal and neonatal produced erythemaprevention of neonatal reference.Objective： To understand the Changchun City Maternity Hospital obstetricneonatal erythema incidence, distribution and influencing factors, and then putforward countermeasures and suggestions neonatal erythema prevention and care.Methods： In this study from August2012to July2013in Changchun City, JilinProvince, was born Maternity Hospital neonatal study. According to the2010diagnosis of neonatal erythema "Practical Neonatology" diagnostic criteria of neonataltoxicity erythema. We investigate the use of the preparation of their own informationtable maternal demographic information, maternal pregnancy habits, medical history,mode of delivery, blood biochemistry, etc., while investigating baby basics, neonatalerythema situation and other relevant information. Data and establish a database usingEpiData double entry of data in parallel. Application SPSS19.0statistical software fordescriptive statistics, chi-square test between groups and logistic regression analysisof factors affecting the statistical analysis.Results：1. The survey results show that the incidence of hospital neonatal toxicityerythema56.70%(368/649),the incidence of male newborns55.29%,female58.18%incidence of neonatal. There was no significant difference in the incidence of neonatalerythema (χ2=0.55,p=0.458). 2.368cases of newborns born of illness is accounted for19.84%; accounted for57.61percent of the first days after birth; accounting for22.01%the next day afterbirth; accounted for0.54%on the third day after birth; alone accounted for sicknewborns occur in the face25.54%total; simply place in the trunk accounted for34.24%; purely on the limbs accounted for27.72%; occur on the face and trunkaccounted for1.90%; occur in the trunk and extremities accounted for0.54%; occur inother parts of the accounting for10.05%.3. Factors Univariate analysis showed that newborn toxic erythema with maternalage, maternal education, birth weight, Apgar score, pork, beef, mutton and poultryconsumption during pregnancy frequency, maternal home induction cooker,microwave oven within an average week, Electric case, pregnancies, with or withoutartificial abortion hair dryer and etc., with or without diabetes,17factors beforepregnancy menstrual cycle, mode of delivery, prenatal distress history, triglycerides,total cholesterol and low-density lipoprotein and other related (P <0.05). But thenation, per capita household income, neonatal gender, history of neonatal asphyxia,smoking, drinking, whether dietary laws, and other30factors, such as history andbirth factors are unrelated (P>0.05).4. Suffering from neonatal erythema as the dependent. Variable in the univariateanalysis of factors which P <0.10as the independent variables, the introduction ofmulti-factor Logistic regression model, using multivariate unconditional regressionmultivariate analysis methods analysis. Analysis showed a good model fit (χ2=93.538, P <0.001). A total of seven factors that ultimately enters the equation, namely,total cholesterol, diabetes, history of prenatal distress, Apgar score, maternaleducation level, the average of the week maternal home use cooker, microwave, hairdryer and other appliances, the maternal pre-pregnancy menstrual blood, which totalcholesterol, history of prenatal distress, maternal education, maternal home within anaverage week, induction cooker, microwave, hair dryer and other appliances, thematernal pre-pregnancy menstrual blood are risk factors (OR>1, P <0.05), history ofdiabetes, Apgar score are protective factors (OR <1, P <0.05).Conclusion：1. Neonatal erythema has a high incidence, erythema prevalence of neonatal maleand female newborns shows no difference. 2. Multivariate logistic regressions showed that maternal education, totalcholesterol, diabetes, history of prenatal distress, Apgar score, maternal educationlevel, the average of the week maternal home use cooker, microwave, hair dryer andother appliances, the maternal pre-pregnancy menstrual blood, which total cholesterol,history of prenatal distress, maternal education, maternal home within an averageweek, induction cooker, microwave, hair dryer and other appliances, the maternalpre-pregnancy menstrual blood are risk factors, history of diabetes, Apgar score areprotective factors.3. Deal with maternal preconception, prenatal education. Ensure their balancednutrition during pregnancy to avoid possible risk factors. Improving maternalphysiological, psychological resilience and thus do prenatal and postnatal care.