Nosseir S A, Mortada M M, Nofal L M, Dabbous N I, Ayoub A I
High Institute of Public Health, Dept. of Family Health.
J Egypt Public Health Assoc. 1990;65(5-6):463-84.
A cross-sectional study was carried out on a sample of 900 pregnant women attending MCH centers in Alexandria to determine the incidence of high risk pregnancy and to demonstrate the common risk factors among them. The simplified scoring system developed by Morrison and Olsen (1979) was used. Mothers with scores 0-2 were considered at low risk those with score 3 and more were categorised as high risk. Results revealed that high risk women constituted 27.78% of the sample. Twenty three risk factors were identified among all pregnant women screened. The most frequently encountered were anaemia (37.33%), age 35+ (15.66%), parity 5+ (16.66%), previous gynecological surgery (8.88%) and history of previous stillbirth or neonatal death (6.11%). The mean number of risk factors in the low risk group was 0.95 compared to 3.03 in the high risk group. Stepwise regression analysis indicated that the reproductive history score was the best one variable predictor of total risk score explaining about 74% of the variation in the total score while the present history score explained a further 16% of the variation and the associated conditions score explained 9% only of the variation. The use of scoring technique is recommended to be used in identification of high risk pregnant women in MCH centers.
对在亚历山大港妇幼保健中心就诊的900名孕妇样本进行了一项横断面研究,以确定高危妊娠的发生率,并揭示其中常见的风险因素。采用了莫里森和奥尔森(1979年)开发的简化评分系统。得分为0至2分的母亲被视为低风险,得分3分及以上的则被归类为高风险。结果显示,高危女性占样本的27.78%。在所有接受筛查的孕妇中识别出了23个风险因素。最常见的是贫血(37.33%)、年龄35岁及以上(15.66%)、产次5次及以上(16.66%)、既往妇科手术史(8.88%)以及既往死产或新生儿死亡史(6.11%)。低风险组的平均风险因素数量为0.95,而高风险组为3.03。逐步回归分析表明,生殖史评分是总风险评分的最佳单一变量预测指标,解释了总分变异的约74%,而现病史评分进一步解释了16%的变异,相关状况评分仅解释了9%的变异。建议在妇幼保健中心识别高危孕妇时采用评分技术。