Ministry of Health, Amman, Jordan.
Arch Gynecol Obstet. 2012 Dec;286(6):1357-62. doi: 10.1007/s00404-012-2458-4. Epub 2012 Jul 18.
To determine the incidence of maternal morbidity and to identify its main causes in Jordan.
A national cohort sample of pregnant women was enrolled before their 22nd week of gestation, and was followed-up throughout the antenatal period, labour and puerperium. A total of 4,501 women were included in the study. A total of 80 physicians were responsible for completing the questionnaire and data sheet.
The overall morbidity rate was 60.8%. The morbidity rate during the ante natal period was 41.3%. During labour and delivery, 34.5% of women suffered from at least one morbid condition. In the puerperium, 18.7% of women suffered from one or more morbidities. The caesarean sections rate was 27.7%. The prevalence of anaemia at enrolment and delivery were 20.1 and 26.3%, respectively. The commonest morbidities of the antenatal period were urinary tract infections at 20.2% and genital infections at 19.4%. Parity of >4 was independently related to increased morbidity during the antenatal period and labour but not in the puerperium. There were no maternal mortalities.
Parity of >4 was a significant predictor of antenatal period and intrapartum morbidity. The commonest maternal morbidities were urinary tract infections, vaginal genital infections and anaemia.
确定约旦产妇发病率，并确定其主要病因。
在妊娠 22 周前，对全国范围内的孕妇队列样本进行了入组，并在整个产前、分娩和产褥期对其进行了随访。共有 4501 名妇女被纳入研究。共有 80 名医生负责完成问卷和数据表。
总体发病率为 60.8%。产前发病率为 41.3%。在分娩和分娩过程中，34.5%的妇女至少患有一种病态。在产褥期，18.7%的妇女患有一种或多种病态。剖宫产率为 27.7%。在入组和分娩时贫血的患病率分别为 20.1%和 26.3%。产前最常见的病态是尿路感染，占 20.2%，生殖道感染占 19.4%。产次>4 与产前和分娩期间发病率增加独立相关，但与产褥期无关。没有产妇死亡。
产次>4 是产前和分娩期间发病率的一个重要预测因素。最常见的产妇病态是尿路感染、阴道生殖道感染和贫血。
