越南谅山省死产相关的危险因素。

Risk factors associated with stillbirth in Thai Nguyen province, Vietnam.

作者信息

Cripe Swee May, Phung Tu Thi Thanh, Nguyen Thi Phuong Lan, Williams Michelle A

机构信息

Department of Epidemiology, University of Washington, Seattle, Washington, USA.

出版信息

J Trop Pediatr. 2007 Oct;53(5):366-7. doi: 10.1093/tropej/fmm044. Epub 2007 Jun 7.

DOI:10.1093/tropej/fmm044

PMID:17556489

Abstract

We investigated risk factors associated with stillbirths using personal interviews and medical records abstraction in a hospital-based case-control study in Thai Nguyen Province, Vietnam. There were 47 stillbirth cases and 365 controls in this study. Maternal education (< or =12 years) (Odds Ratio, OR = 3.07; 95% CI = 1.19-7.96), from rural communities (OR = 2.42; 95% CI = 1.16-5.03), primiparous (OR = 3.83; 95% CI = 1.10-13.40) and lack of prenatal care vitamins (OR = 2.56; 95% CI = 1.25-5.23) were statistically significant risk factors associated with stillbirth in an age-adjusted multivariable model. Our findings suggest that improved maternal health education and care in all communities may reduce the burden of fetal loss in this province.

摘要

在越南谅山省开展的一项基于医院的病例对照研究中，我们通过个人访谈和病历摘要调查了与死产相关的风险因素。本研究中有47例死产病例和365名对照。在年龄校正的多变量模型中，母亲受教育程度（≤12年）（比值比，OR = 3.07；95%置信区间 = 1.19 - 7.96）、来自农村社区（OR = 2.42；95%置信区间 = 1.16 - 5.03）、初产（OR = 3.83；95%置信区间 = 1.10 - 13.40）以及缺乏产前护理维生素（OR = 2.56；95%置信区间 = 1.25 - 5.23）是与死产相关的具有统计学意义的风险因素。我们的研究结果表明，改善所有社区的孕产妇健康教育和护理可能会减轻该省的胎儿死亡负担。