Owolabi A T, Fatusi A O, Kuti O, Adeyemi A, Faturoti S O, Obiajuwa P O
Department of Obstetrics, Gynaecology and Perinatology, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Osun 220005, Nigeria.
Singapore Med J. 2008 Jul;49(7):526-31.
The study aimed to compare the sociodemographical characteristics, obstetrical complications and foetal outcome in delivered booked mothers and delivered unbooked mothers and to determine the correlation of maternal and perinatal outcomes.
In a prospective study over a 22-month period, outcomes of pregnancies of women booked for antenatal care were compared with that of unbooked women, who delivered in our unit at the Wesley Guild Hospital, Nigeria.
29 percent of the 1,154 deliveries in the study period comprised unbooked mothers. Compared with booked mothers, unbooked mothers had a higher tendency to be younger (29.3 +/- 6.08 vs. 31.12 +/- 4.80; p-value is less than 0.001), unmarried (9.2 percent vs. 1.8 percent; p-value is less than 0.01), with lower educational status (25.8 percent with postsecondary education vs. 58.7 percent; p-value is less than 0.01), lower social class (25.0 percent in upper class vs. 52.3 percent; p-value is less than 0.001) and with higher proportion of multipara (12.5 percent vs. 5.5 percent; p-value is less than 0.02), higher incidence of antepartum haemorrhage (odds-ratio [OR] 5.96, 95 percent confidence interval [CI] 2.53-14.29, p-value is less than 0.001), anaemia (OR 2.75, 95 percent CI 1.09-4.47, p-value is less than 0.001) and preeclampsia/eclampsia. Unbooked mothers were half as likely as booked mothers to deliver by spontaneous vaginal delivery (OR 0.45, 95 percent CI 0.29-0.71, p-value is less than 0.001) but were twice as likely to deliver preterm babies (OR 2.03, 95 percent CI 1.14-3.59, p-value is less than 0.009) and three times more likely to have babies with birth asphyxia. Perinatal and maternal mortalities were higher in unbooked mothers.
The study showed a positive correlation between unbooked mothers and an increased risk of maternal and foetal adverse outcomes.
本研究旨在比较已登记产妇和未登记产妇的社会人口学特征、产科并发症及胎儿结局，并确定孕产妇和围产期结局之间的相关性。
在一项为期22个月的前瞻性研究中，将接受产前护理登记的孕妇结局与未登记孕妇的结局进行比较，这些孕妇均在尼日利亚韦斯利公会医院分娩。
在研究期间的1154例分娩中，29%的产妇为未登记产妇。与已登记产妇相比，未登记产妇更倾向于年龄较小（29.3±6.08岁对31.12±4.80岁；p值小于0.001）、未婚（9.2%对1.8%；p值小于0.01）、教育程度较低（25.8%接受过高等教育对58.7%；p值小于0.01）、社会阶层较低（25.0%属于上层阶级对52.3%；p值小于0.001）且多产妇比例较高（12.5%对5.5%；p值小于0.02），产前出血发生率较高（优势比[OR]5.96，95%置信区间[CI]2.53 - 14.29，p值小于0.001）、贫血（OR 2.75，95%CI 1.09 - 4.47，p值小于0.001）以及先兆子痫/子痫。未登记产妇自然阴道分娩的可能性仅为已登记产妇的一半（OR 0.45，95%CI 0.29 - 0.71，p值小于0.001），但早产的可能性却是已登记产妇的两倍（OR 2.03，95%CI 1.14 - 3.59，p值小于0.009），新生儿窒息的可能性则是已登记产妇的三倍。未登记产妇的围产期和孕产妇死亡率更高。
该研究表明未登记产妇与孕产妇和胎儿不良结局风险增加之间存在正相关。
