Maternal and Child Health Research Unit, Department of Community Medicine, Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, Saliya pura, Sri Lanka.
PLoS One. 2013 May 10;8(5):e64214. doi: 10.1371/journal.pone.0064214. Print 2013.
Although maternal mortality has become a major focus on global public health agenda, maternal morbidity is a neglected area of research. The purpose of this paper is to present the burden of acute maternal illness during pregnancy.
A cross sectional study was carried out in Anuradhapura district, Sri Lanka. Pregnant women residing in the Anuradhapura district with a gestational age more than 24 weeks through 36 weeks were recruited to the study using a two-stage cluster sampling technique. All pregnant women who consented participated in a detailed interview using a structured questionnaire. Self reported episodes of acute illness during pregnancy were the main outcome measures. Secondary outcomes were utilization of medical services and frequency of hospitalizations.
Nausea and vomiting during pregnancy (NVP) was experienced by 325 (69.7%) of the 466 pregnant women studied. Other common symptoms were backache (152, 32.6%), dizziness (112, 24.0%) and heartburn/regurgitation (107, 23.0%). Of the 421 pregnant women who reported ill health conditions 260 (61.8%) women sought medical treatment for these illnesses. Total number of episodes that needed treatment seeking were 373. Hospitalizations were reported by 83 (17.8%) pregnant women and the total number of hospitalizations was 109. The leading cause of hospitalization was NVP which accounted for 43.1% of total admissions and 49.1% of total days spent in hospitals.
Minor maternal ill health conditions affecting day-to-day life have a major burden on pregnancy period. Evidence based management guidelines and health promotion strategies are needed to control and prevent these conditions, in order to provide comprehensive, good quality maternal health care.
尽管产妇死亡率已成为全球公共卫生议程的重点，但产妇发病率仍是一个被忽视的研究领域。本文旨在介绍孕期急性产妇疾病的负担。
本研究为横断面研究，在斯里兰卡的阿努拉德普勒区进行。采用两阶段聚类抽样技术，招募了阿努拉德普勒区妊娠 24 周以上至 36 周的孕妇。所有同意参加的孕妇均使用结构化问卷进行详细访谈。主要结局指标为妊娠期间急性疾病发作的自我报告病例。次要结局指标为医疗服务的利用情况和住院频率。
466 名孕妇中，有 325 名（69.7%）经历了妊娠剧吐（NVP）。其他常见症状为背痛（152 例，32.6%）、头晕（112 例，24.0%）和烧心/反流（107 例，23.0%）。在报告健康状况不佳的 421 名孕妇中，有 260 名（61.8%）因这些疾病寻求了医疗治疗。需要寻求治疗的总发作次数为 373 次。有 83 名（17.8%）孕妇住院，总住院次数为 109 次。住院的主要原因是 NVP，占总住院人数的 43.1%，占总住院天数的 49.1%。
影响日常生活的轻微产妇健康状况给妊娠期间带来了重大负担。需要制定基于证据的管理指南和健康促进策略，以控制和预防这些疾病，从而提供全面、高质量的孕产妇保健服务。
