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埃塞俄比亚西南部米赞-泰皮大学教学医院、泰皮综合医院和格布雷萨迪克·沙沃医院分娩服务女性中的妊娠高血压及其相关因素

Pregnancy Induced Hypertension and Associated Factors among Women Attending Delivery Service at Mizan-Tepi University Teaching Hospital, Tepi General Hospital and Gebretsadik Shawo Hospital, Southwest, Ethiopia.

作者信息

Gudeta Tesfaye Abera, Regassa Tilahun Mekonnen

机构信息

MizanTepi University, College of Health science, Department of Nursing, Maternal Health Nursing Unit.

MizanTepi University, College of Health Science, Department of Nursing, adult Health Hursing Unit.

出版信息

Ethiop J Health Sci. 2019 Jan;29(1):831-840. doi: 10.4314/ejhs.v29i1.4.

Abstract

BACKGROUND

Disorders of pregnancy induced hypertensive are a major health problem in the obstetric population as they are one of the leading causes of maternal and perinatal morbidity and mortality. The World Health Organization estimates that at least one woman dies every seven minutes from complications of hypertensive disorders of pregnancy. The objective of this study is to assess pregnancy induced hypertension and its associated factors among women attending delivery service at Mizan-Tepi University Teaching Hospital, Gebretsadikshawo Hospital and Tepi General Hospital.

METHODS

A health facility based cross-sectional study was carried out from October 01 to November 30/2016. The total sample size (422) was proportionally allocated to the three hospitals. Systematic sampling technique was used to select study participants. Variables with p-value of less than 0.25 in binary logistic regression were entered into the multivariable logistic regression to control cofounding. Odds ratio with 95% confidence interval was used. P-value less than 0.05 was considered as statistically significant.

RESULTS

The prevalence of pregnancy induced hypertension was 33(7.9%); of which 5(15.2%) were gestational hypertension, 12 (36.4%) were mild preeclampsia, 15(45.5%) were severe preeclampsia and 1 (3%) eclampsia. Positive family history of pregnancy induced hypertension [AOR5.25 (1.39-19.86)], kidney diseases (AOR 3.32(1.04-10.58)), having asthma [AOR 37.95(1.41-1021)] and gestational age (AOR 0.096(0.04-.23)) were predictors of pregnancy induced hypertension.

CONCLUSION

The prevalence of pregnancy induced hypertension among women attending delivery service was 7.9%. Having family history of pregnancy induced hypertension, chronic kidney diseases and gestational age were predictors of pregnancy induced hypertension.

摘要

背景

妊娠高血压疾病是产科人群中的一个主要健康问题,因为它们是孕产妇和围产期发病及死亡的主要原因之一。世界卫生组织估计,每七分钟至少有一名妇女死于妊娠高血压疾病的并发症。本研究的目的是评估在米赞 - 泰皮大学教学医院、格布雷萨迪沙沃医院和泰皮综合医院接受分娩服务的妇女中妊娠高血压及其相关因素。

方法

于2016年10月1日至11月30日进行了一项基于医疗机构的横断面研究。总样本量(422)按比例分配到三家医院。采用系统抽样技术选择研究参与者。二元逻辑回归中p值小于0.25的变量被纳入多变量逻辑回归以控制混杂因素。使用95%置信区间的比值比。p值小于0.05被认为具有统计学意义。

结果

妊娠高血压的患病率为33(7.9%);其中5(15.2%)为妊娠期高血压,12(36.4%)为轻度子痫前期,15(45.5%)为重度子痫前期,1(3%)为子痫。妊娠高血压的阳性家族史[AOR 5.25(1.39 - 19.86)]、肾脏疾病(AOR 3.32(1.04 - 10.58))、患有哮喘[AOR 37.95(1.41 - 1021)]和孕周(AOR 0.096(0.04 - 0.23))是妊娠高血压的预测因素。

结论

接受分娩服务的妇女中妊娠高血压的患病率为7.9%。妊娠高血压家族史、慢性肾脏疾病和孕周是妊娠高血压的预测因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e3d/6341446/9407a99bda58/EJHS2901-0831Fig1.jpg

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