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尼日利亚拉各斯地区妊娠合并贫血及妊娠期高血压疾病母亲所生新生儿健康状况的回顾性研究

A Retrospective Study of the Health Profile of Neonates of Mothers with Anemia in Pregnancy and Pregnancy Induced Hypertension in Lagos, Nigeria.

作者信息

Sotunde Olusola Funmilayo, Sanni Silifat Ajoke, Onabanjo Oluseye Olusegun, Olayiwola Ibiyemi O, Agbonlahor Mure

机构信息

Department of Nutrition and Dietetics, College of Agricultural Management and Rural Development, University of Agriculture , Abeokuta, Ogun State, Nigeria.

Department of Agricultural Economics and Farm Management, College of Agricultural Management and Rural Development, University of Agriculture , Abeokuta, Ogun State, Nigeria.

出版信息

J Public Health Afr. 2014 Jul 4;5(2):286. doi: 10.4081/jphia.2014.286. eCollection 2014 Jun 29.

Abstract

Our study assessed the health profile of neonates in relation to anemia in pregnancy and pregnancy induced hypertension (PIH). This was a retrospective study where a systematic random sampling technique was used to select a total of 1046 case records of pregnant women registered for ante-natal care at Lagos Island Maternity Hospital, Lagos, Nigeria, between 2005 and 2009. Socio-demographic characteristics of the mothers, prevalence of anemia and PIH, and neonatal health profile were obtained from the case records and were analyzed using both descriptive and inferential statistics. Pearson product moment correlation was used to show the relationship (P≤0.05) between maternal complications and neonatal health profile. Majority (68.8%) of the mothers had anemia and 6.7 % had PIH. Majority (97.12%) of the neonates were live births and 2.88% of the neonates were still births, 65.4% of the women with still birth pregnancy outcome had anemia, and 34.6% had PIH. Majority (74%) of the neonates had birth weight within normal range (2.5-4.0 kg) and majority (68%) had normal Apgar score at 5 min of birth (7-10). A positive correlation existed between the packed cell volume of the mother and the birth weight of the neonates (r=0.740, P≤0.05). A negative correlation existed between the incidence of PIH and the birth weight of the neonates (r= 0.781, P≤0.05), head circumference (r=-0.491, P≤0.05) and the length of the neonates(r=-0.480, P≤0.05). We conclude that nutritional and health care intervention programmes for pregnant women should be intensified especially during ante-natal visits to hospitals.

摘要

我们的研究评估了新生儿的健康状况与孕期贫血及妊娠期高血压疾病(PIH)之间的关系。这是一项回顾性研究,采用系统随机抽样技术,从2005年至2009年在尼日利亚拉各斯岛妇产医院登记进行产前护理的孕妇病例记录中,共选取了1046份。从病例记录中获取母亲的社会人口学特征、贫血和PIH的患病率以及新生儿健康状况,并使用描述性和推断性统计方法进行分析。采用Pearson积矩相关性分析来显示母亲并发症与新生儿健康状况之间的关系(P≤0.05)。大多数(68.8%)母亲患有贫血,6.7%患有PIH。大多数(97.12%)新生儿为活产,2.88%为死产,死产妊娠结局的妇女中65.4%患有贫血,34.6%患有PIH。大多数(74%)新生儿出生体重在正常范围(2.5 - 4.0千克),大多数(68%)在出生后5分钟时阿氏评分正常(7 - 10分)。母亲的红细胞压积与新生儿出生体重之间存在正相关(r = 0.740,P≤0.05)。PIH的发生率与新生儿出生体重(r = 0.781,P≤0.05)、头围(r = -0.491,P≤0.05)和新生儿身长(r = -0.480,P≤0.05)之间存在负相关。我们得出结论,应加强针对孕妇的营养和医疗保健干预计划,尤其是在产前到医院就诊期间。

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