Bililign Yimer Nigus, Tenaw Zelalem, Solomon Kalkidan, Mulatu Tesfahun
Department of Midwifery, Woldia University, Ethiopia.
Department of Midwifery, Hawassa University, Ethiopia.
J Pregnancy. 2019 Apr 10;2019:9024258. doi: 10.1155/2019/9024258. eCollection 2019.
Adverse perinatal outcomes are still high in developing countries. Contradicting evidences were reported about the effect of parity on adverse perinatal outcomes. The aim of this study was to compare perinatal outcomes in grand multiparous and low multiparity women in Hawassa University Comprehensive Specialized Hospital and Adare General Hospital of Ethiopia.
Comparative cross-sectional study design was employed to include 461 mothers from February to June 2018. Data were collected by structured questionnaire using interview and from patient charts. Data were entered using EPI-DATA version 4.4.2.0. Descriptive statistics and logistic regression analyses were computed using STATA version 14 computer software.
Of all study participants, 24.9% (95% Confidence interval: 21.1%-29.1%) had at least one adverse perinatal outcome. Stillbirth (38.9), low Apgar score (51.9%), and congenital malformation (3.70%) were frequently occurred complications in grand multiparas compared to low multiparous women. Nevertheless, meconium aspiration, need for resuscitation, and macrosomia were higher in low multiparous women (9.84%, 14.75%, and 57.38%, respectively). Less than four prenatal visits (AOR: 1.74; 95% CI: 1.04, 2.92) and previous home delivery (AOR: 1.87; 95% CI: 1.04, 3.33) were independent predictors of adverse perinatal outcomes. However, parity did not show statistically significant difference in perinatal outcomes.
This finding underscores the fact that frequency of antenatal care and place of delivery are significant predictors of perinatal outcomes. However, parity did not show statistically significant difference in perinatal outcomes. Women empowerment, promoting health facility delivery, and early, comprehensive antenatal care are needed.
发展中国家不良围产期结局的发生率仍然很高。关于产次对不良围产期结局的影响，有相互矛盾的证据报道。本研究的目的是比较埃塞俄比亚哈瓦萨大学综合专科医院和阿达雷综合医院中经产妇和低产次妇女的围产期结局。
采用比较横断面研究设计，纳入2018年2月至6月的461名母亲。通过结构化问卷进行访谈并从患者病历中收集数据。使用EPI-DATA 4.4.2.0版本录入数据。使用STATA 14计算机软件进行描述性统计和逻辑回归分析。
在所有研究参与者中，24.9%（95%置信区间：21.1%-29.1%）至少有一项不良围产期结局。与低产次妇女相比，经产妇中死产（38.9）、低阿氏评分（51.9%）和先天性畸形（3.70%）是更常见的并发症。然而，低产次妇女的胎粪吸入、复苏需求和巨大儿发生率更高（分别为9.84%、1 .75%和57.38%）。产前检查少于四次（调整后比值比：1.74；95%置信区间：1.04，2.92）和既往在家分娩（调整后比值比：1.87；95%置信区间：1.04，3.33）是不良围产期结局的独立预测因素。然而，产次在围产期结局方面未显示出统计学上的显著差异。
这一发现强调了产前检查频率和分娩地点是围产期结局的重要预测因素这一事实。然而，产次在围产期结局方面未显示出统计学上的显著差异。需要增强妇女权能，促进在医疗机构分娩，并提供早期、全面的产前护理。
