医院中早产的风险因素。
Risk Factors for premature birth in a hospital.
作者信息
Ahumada-Barrios Margarita E, Alvarado German F
机构信息
Facultad de Ciencias de la Salud, Universidad Católica Sedes Sapientiae, Lima, Peru.
出版信息
Rev Lat Am Enfermagem. 2016;24:e2750. doi: 10.1590/1518-8345.0775.2750. Epub 2016 Jul 25.
OBJECTIVE
to determine the risk factors for premature birth.
METHODS
retrospective case-control study of 600 pregnant women assisted in a hospital, with 298 pregnant women in the case group (who gave birth prematurely <37 weeks) and 302 pregnant women who gave birth to a full-term newborn in the control group. Stata software version 12.2 was used. The Chi-square test was used in bivariate analysis and logistic regression was used in multivariate analysis, from which Odds Ratios (OR) and Confidence Intervals (CI) of 95% were derived.
RESULTS
risk factors associated with premature birth were current twin pregnancy (adjusted OR= 2.4; p= 0.02), inadequate prenatal care (< 6 controls) (adjusted OR= 3.2; p <0.001), absent prenatal care (adjusted OR= 3.0; p <0.001), history of premature birth (adjusted OR= 3.7; p <0.001) and preeclampsia (adjusted OR= 1.9; p= 0.005).
CONCLUSION
history of premature birth, preeclampsia, not receiving prenatal care and receiving inadequate prenatal care were risk factors for premature birth.
目的
确定早产的危险因素。
方法
对一家医院收治的600名孕妇进行回顾性病例对照研究，病例组有298名孕妇（早产<37周），对照组有302名孕妇分娩出足月新生儿。使用Stata软件版本12.2。双变量分析采用卡方检验，多变量分析采用逻辑回归，由此得出比值比（OR）和95%置信区间（CI）。
结果
与早产相关的危险因素有当前双胎妊娠（校正OR = 2.4；p = 0.02）、产前护理不足（<6次产检）（校正OR = 3.2；p<0.001）、未进行产前护理（校正OR = 3.0；p<0.001）、早产史（校正OR = 3.7；p<0.001）和子痫前期（校正OR = 1.9；p = 0.005）。
结论
早产史、子痫前期、未接受产前护理和产前护理不足是早产的危险因素。
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