印度尼西亚的产前保健就诊次数与新生儿死亡率。
Frequency of antenatal care visits and neonatal mortality in Indonesia.
机构信息
Department of Epidemiology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Okayama City, Okayama, Japan.
出版信息
J Trop Pediatr. 2012 Jun;58(3):184-8. doi: 10.1093/tropej/fmr067. Epub 2011 Sep 9.
OBJECTIVE
To examine the relationship between frequency of antenatal care visits, as a whole and in each trimester, and neonatal mortality in Indonesia.
SUBJECTS
13 055 single births from the fifth Indonesia Demographic Health Survey in 2006-07.
METHODS
Estimate adjusted odds ratios (ORs) and their 95% confidence intervals (95% CIs).
RESULTS
Pregnant women who had more antenatal care visits experienced a lower risk of neonatal mortality and more benefit in the last trimester: the ORs against the 0-1 visit group, were 0.76 (95% CI 0.45-1.29) for 2 visits group, 0.54 (95% CI 0.33-0.87) for 3 visits group and 0.31 (95% CI 0.17-0.57) for 4 visits group, respectively. Individual ORs as a whole period were not significant, but ORs declined markedly at 7 visits or more.
CONCLUSION
The results may provide a valuable recommendation for the care of pregnant women in Indonesia.
目的
探讨印度尼西亚产前保健就诊频率（整体和每个孕期）与新生儿死亡率之间的关系。
对象
2006-2007 年第五次印度尼西亚人口健康调查中的 13055 例单胎分娩。
方法
估计调整后的优势比（OR）及其 95%置信区间（95%CI）。
结果
接受更多产前保健就诊的孕妇新生儿死亡率较低，且最后三个月的获益更大：与就诊 0-1 次的孕妇相比，就诊 2 次、3 次和 4 次的 OR 分别为 0.76（95%CI 0.45-1.29）、0.54（95%CI 0.33-0.87）和 0.31（95%CI 0.17-0.57）。整个孕期的个体 OR 不显著，但就诊 7 次或更多次时 OR 显著下降。
结论
这些结果可能为印度尼西亚孕妇保健提供有价值的建议。
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