[马达加斯加的产前咨询与围产期死亡率]
[Prenatal consultations and perinatal mortality in Madagascar].
作者信息
Rakotoseheno H, Rakotonirina E J, Randriatsarafara F M, Rakotonantoanina J, Randrianarimanana V D, Rakotomanga J D M, Ranjalahy Rasolofomanana J
机构信息
Institut national de santé publique et communautaire, B.P. 176, Befelatanana, 101 Antananarivo, Madagascar.
出版信息
J Gynecol Obstet Biol Reprod (Paris). 2008 Sep;37(5):505-9. doi: 10.1016/j.jgyn.2008.04.006. Epub 2008 Jun 18.
OBJECTIVES
One of the contributions for improving maternal and child health consists in reducing the perinatal death rate. This rate reaches 20.5 per 1000 births in the health district of Fianarantsoa-II. This study is carried out to determine the factors related to this problem.
MATERIALS AND METHODS
A case control study included mothers having had perinatal death and mothers having had a live birth in 2005.
RESULTS
Our findings show significant relationship of certain factors with perinatal mortality: complications during the pregnancy, no medical care for these complications, poor knowledge about complications and symptoms, inadequate iron intake. Differences were also found on message transmitters and dissemination means.
CONCLUSION
In rural areas, it is necessary to address the antenatal care quality by early risk management. A project entitled Plan périnatalité is proposed, so as to reduce by 50% the perinatal mortality rate in the health district of Fianarantsoa-II.
目标
改善母婴健康的一项举措在于降低围产期死亡率。在菲亚纳兰楚阿二区卫生区，这一比率达到每1000例出生中有20.5例死亡。开展本研究以确定与该问题相关的因素。
材料与方法
一项病例对照研究纳入了2005年经历围产期死亡的母亲和生育活产婴儿的母亲。
结果
我们的研究结果显示某些因素与围产期死亡率存在显著关联：孕期并发症、这些并发症未得到医疗护理、对并发症和症状了解不足、铁摄入量不足。在信息传播者和传播方式方面也发现了差异。
结论
在农村地区，有必要通过早期风险管理来提高产前护理质量。提出了一个名为“围产期计划”的项目，以便将菲亚纳兰楚阿二区卫生区的围产期死亡率降低50%。
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