对海地妊娠并发症的认知

Perceptions of pregnancy complications in Haiti.

作者信息

Anderson Frank W J, Naik Sujata I, Feresu Shingairai A, Gebrian Bette, Karki Manju, Harlow Sioban D

机构信息

Department of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, USA.

出版信息

Int J Gynaecol Obstet. 2008 Feb;100(2):116-23. doi: 10.1016/j.ijgo.2007.08.005.

DOI:10.1016/j.ijgo.2007.08.005

PMID:18076885

Abstract

OBJECTIVE

To determine the incidence of perceived pregnancy complications and associated factors.

METHODS

During a census, 450 women identified themselves as pregnant and 388 were interviewed postpartum.

RESULTS

Complications were reported by 58.6%. Bleeding post-delivery was the most frequent complication (42.5%), followed by great pain (33.8%), bleeding during pregnancy (20.1%), and fever post-delivery (11.6%). Prenatal care at either a dispensary or a clinic was associated with reports of bleeding during pregnancy (odds ratio [OR] 9.06; 95% confidence interval [CI], 1.71-48.00 and OR 7.58; 95% CI, 1.53-37.48, respectively). Women who visited a doctor were less likely to report bleeding during pregnancy (OR 0.20; 95% CI, 0.08-0.55) or fever post-delivery (P=0.015). Herb use was associated with reported bleeding during pregnancy (OR 2.22; 95% CI, 1.12-4.40) and great pain (OR 1.94; 95% CI, 1.05-3.58).

CONCLUSION

The perceived pregnancy complication rate in Haiti is high and is associated with access to health care. The association between use of herbs and pregnancy complications warrants investigation.

摘要

目的

确定感知到的妊娠并发症发生率及相关因素。

方法

在一次普查中，450名女性自称怀孕，其中388名在产后接受了访谈。

结果

58.6%的人报告有并发症。产后出血是最常见的并发症（42.5%），其次是剧痛（33.8%）、孕期出血（20.1%）和产后发热（11.6%）。在药房或诊所接受产前护理与孕期出血报告相关（比值比[OR]分别为9.06；95%置信区间[CI]，1.71 - 48.00和OR 7.58；95% CI，1.53 - 37.48）。看过医生的女性报告孕期出血（OR 0.20；95% CI，0.08 - 0.55）或产后发热的可能性较小（P = 0.015）。使用草药与报告的孕期出血（OR 2.22；95% CI，1.12 - 4.40）和剧痛（OR 1.94；95% CI，1.05 - 3.58）相关。