Graner Sophie, Klingberg-Allvin Marie, Phuc Ho Dang, Krantz Gunilla, Mogren Ingrid
Department of Public Health and Clinical Medicine, Epidemiology and Public Health Sciences, Umeå University, 901 87, Umeå, Sweden.
Int J Behav Med. 2009;16(3):269-77. doi: 10.1007/s12529-008-9026-0. Epub 2009 Feb 19.
Pregnancy outcomes in the general population are important public health indicators.
The overall aim of this study was to investigate the outcomes of reported pregnancies within a well-defined population, to identify risk groups for adverse pregnancy outcomes, and to suggest preventive measures.
A prospective population-based cohort study of pregnant women in Bavi district, Vietnam between 1 January 1999 and 30 June 2004.
Pregnancy outcome was reported for 5,259 cases; 4,152 (79%) resulted in a live birth, 67 (1.3%) in a stillbirth, 733 (14%) in an induced abortion, and 282 (5.4%) in a spontaneous abortion. There was an increased risk of home delivery for women from ethnic minorities (OR = 1.85; 95%CI = 1.06-3.24) or with less than 6 years of schooling (OR = 7.36; 95%CI = 3.54-15.30). The risk of stillbirth was increased for ethnic minorities (OR = 6.34; 95%CI = 1.33-30.29) and women delivering at home (OR = 6.81; 95%CI = 2.40-19.30). The risk of induced abortion increased with maternal age.
Our findings emphasize the public health significance of access to adequate family planning, counselling, and maternal health care for all women. Policies should specifically target women from high-risk groups.
普通人群的妊娠结局是重要的公共卫生指标。
本研究的总体目标是调查明确人群中报告的妊娠结局，确定不良妊娠结局的风险群体，并提出预防措施。
对1999年1月1日至2004年6月30日期间越南巴维区的孕妇进行基于人群的前瞻性队列研究。
报告了5259例妊娠结局；4152例（79%）为活产，67例（1.3%）为死产，733例（14%）为人工流产，282例（5.4%）为自然流产。少数民族妇女（比值比=1.85；95%可信区间=1.06-3.24）或受教育年限少于6年的妇女（比值比=7.36；95%可信区间=3.54-15.30）在家分娩的风险增加。少数民族（比值比=6.34；95%可信区间=1.33-30.29）和在家分娩的妇女（比值比=6.81；95%可信区间=2.40-19.30）死产风险增加。人工流产风险随产妇年龄增加而增加。
我们的研究结果强调了为所有妇女提供充分的计划生育、咨询和孕产妇保健服务的公共卫生意义。政策应特别针对高危群体的妇女。
