[在西非，围产期死亡的临床风险因素能在产前护理期间或分娩期间被检测出来吗？]
[Can clinical risk factors for perinatal mortality in West Africa be detected during antenatal care or during labor?].
作者信息
Chalumeau M
机构信息
Inserm Unité 149, Unité de Recherches Epidémiologiques en Santé Périnatale et Santé des Femmes, 123, boulevard de Port-Royal, 75014 Paris, France.
出版信息
J Gynecol Obstet Biol Reprod (Paris). 2002 Feb;31(1):63-9.
INTRODUCTION
Perinatal mortality (PNM) is a public health problem in West Africa. Aims. To evaluate the rate of PNM in 6 countries of West Africa, to identify clinical risk factors for PNM, to quantify the relative contribution of antenatal care and labor survey in the detection of these risk factors.
METHODS
The MOMA study was a prospective population-based study that collected data about 20326 pregnant women in various, primarily urban, areas of Burkina-Faso, Ivory-Coast, Mali, Mauritania, Niger and Senegal. The present report analyses 19.870 singleton births and 31 simple clinical variables.
RESULTS
The mean PNM ratio was 42 per 1000 total births. In the crude analysis, after adjustment or taking prevalence into account, the principal risk factors were: immediately antenatal and intrapartum vaginal bleeding, labor hypertension, dystocia and infection.
CONCLUSION
The PNM are very high in West Africa. The principal risk factors for PNM can be detected only during labor.
引言
围产期死亡率（PNM）是西非的一个公共卫生问题。目的：评估西非6个国家的围产期死亡率，确定围产期死亡率的临床风险因素，量化产前护理和分娩调查在检测这些风险因素方面的相对贡献。
方法
MOMA研究是一项基于人群的前瞻性研究，收集了布基纳法索、科特迪瓦、马里、毛里塔尼亚、尼日尔和塞内加尔不同地区（主要是城市地区）的20326名孕妇的数据。本报告分析了19870例单胎分娩和31个简单的临床变量。
结果
围产期死亡率的平均比例为每1000例总出生数中有42例。在粗分析中，调整后或考虑患病率后，主要风险因素为：产前即刻和产时阴道出血、分娩期高血压、难产和感染。
结论
西非的围产期死亡率非常高。围产期死亡率的主要风险因素只能在分娩期间检测到。
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