印度德里市一个城市安置区女性的产科和新生儿结局：一项队列研究

Obstetric and neonatal outcomes in women who live in an urban resettlement area of Delhi, India: a cohort study.

作者信息

Chhabra Pragti, Sharma Arun Kumar, Tupil Kannan Anjur

机构信息

Department of Community Medicine, University College of Medical Sciences and GTB Hospital, Delhi, India.

出版信息

J Obstet Gynaecol Res. 2006 Dec;32(6):567-73. doi: 10.1111/j.1447-0756.2006.00456.x.

DOI:10.1111/j.1447-0756.2006.00456.x

PMID:17100818

Abstract

AIM

To study the pregnancy outcome, namely mode and place of delivery, attendant at birth and perinatal mortality in an urban resettlement area of Delhi, India, and to determine factors that affect the outcome.

METHODS

All the pregnant women (n = 909) in the area were enrolled and followed until 7 days after delivery. We calculated the crude and adjusted odds ratios for predictors of pregnancy related obstetric and neonatal outcomes, using logistic regression analysis.

RESULTS

A total of 884 (97.3%) women could be followed up. Approximately two-thirds of deliveries took place at home. Primigravida, more educated mothers and mothers with non-cephalic presentation or complications were more likely to deliver in a health facility (P < 0.05). Most deliveries (97%) were vaginal, 2.5% were cesarean and 0.5% forceps deliveries. Primigravida mothers, mothers with short stature, mothers with non-cephalic presentation or complications had cesarean and forceps delivery more often (P < 0.05). A perinatal mortality rate of 74.5 per 1000 live births was observed. Presentation of the fetus and complications in the mother remained important factors.

CONCLUSION

The majority of deliveries in the under-privileged sections in urban Delhi take place at home and the perinatal mortality remains high.

摘要

目的

研究印度德里一个城市安置区的妊娠结局，即分娩方式和地点、分娩时的护理人员以及围产期死亡率，并确定影响结局的因素。

方法

纳入该地区所有孕妇（n = 909），随访至产后7天。我们使用逻辑回归分析计算了与妊娠相关的产科和新生儿结局预测因素的粗比值比和调整比值比。

结果

共有884名（97.3%）妇女得到随访。约三分之二的分娩在家中进行。初产妇、受教育程度较高的母亲以及有非头位或并发症的母亲更有可能在医疗机构分娩（P < 0.05）。大多数分娩（97%）为阴道分娩，2.5%为剖宫产，0.5%为产钳助产。初产妇母亲、身材矮小的母亲、有非头位或并发症的母亲剖宫产和产钳助产的发生率更高（P < 0.05）。观察到围产期死亡率为每1000例活产74.5例。胎儿胎位和母亲的并发症仍然是重要因素。