Suppr超能文献

埃塞俄比亚提格雷中区公立医院分娩母亲中死产的危险因素。

Risk factors of stillbirth among mothers delivered in public hospitals of Central Zone, Tigray, Ethiopia.

作者信息

Tasew Hagos, Zemicheal Micheal, Teklay Girmay, Mariye Teklewoini

机构信息

School of Nursing, College of Health Science and Comprehensive Specialized Hospital, Aksum University, Tigray, Ethiopia.

School of Medicine, College of Health Science and Comprehensive Specialized Hospital, Aksum University, Tigray, Ethiopia.

出版信息

Afr Health Sci. 2019 Jun;19(2):1930-1937. doi: 10.4314/ahs.v19i2.16.

Abstract

BACKGROUND

Stillbirth is a death before the complete expulsion or extraction from the mother. The burden is severe and high in developing countries. Risk factors for stillbirth are not yet studied in Ethiopia.

OBJECTIVE

To identify risk factors of stillbirth among mothers delivered in public hospitals of Central Zone Tigray, Ethiopia.

METHODS

A case-control study design was used. Data collection period was from January to April 2018. Study subjects 63 cases and 252 controls were selected using systematic random sampling technique from respective hospitals. The interviewer-administered questionnaire, observational, and chart analysis were used to collect the data. A binary logistic regression model was employed. Results were presented at significance level P-value <0.05.

RESULTS

Maternal hypertension [AOR=12.83; 95% CI 3.38, 48.83], low birth weight [AOR=5.6; 95% CI 2.39, 13.38], pre-term [AOR=2.6;95%CI 1.12,6.16], alcohol intake [AOR=7.56; 95% CI 1.68, 34.04], polyhydramnios [AOR=13.43; 95% CI 3.63, 49.67], and meconium stained amniotic fluid [AOR=7.88; 95% CI 1.73, 8.18] were risk factors of stillbirth.

CONCLUSION

The risk of stillbirth is increased with increasing maternal complication like maternal hypertension, alcohol consumption, polyhydramnios, and meconium-stained amniotic fluid. The occurrence of preterm and low birth weight of the fetus had an effect on the risk of stillbirth.

摘要

背景

死产是指胎儿在完全从母体排出或取出之前死亡。在发展中国家,死产的负担沉重且发生率高。埃塞俄比亚尚未对死产的风险因素进行研究。

目的

确定在埃塞俄比亚提格雷中部地区公立医院分娩的母亲中死产的风险因素。

方法

采用病例对照研究设计。数据收集期为2018年1月至4月。使用系统随机抽样技术从各医院选取63例病例和252例对照作为研究对象。通过访谈式问卷、观察和图表分析收集数据。采用二元逻辑回归模型。结果以显著性水平P值<0.05呈现。

结果

母亲高血压[AOR=12.83;95%可信区间3.38,48.83]、低出生体重[AOR=5.6;95%可信区间2.39,13.38]、早产[AOR=2.6;95%可信区间1.12,6.16]、饮酒[AOR=7.56;95%可信区间1.68,34.04]、羊水过多[AOR=13.43;95%可信区间3.63,49.67]和羊水胎粪污染[AOR=7.88;95%可信区间1.73,8.18]是死产的风险因素。

结论

死产风险随着母亲并发症如母亲高血压、饮酒、羊水过多和羊水胎粪污染的增加而升高。胎儿早产和低出生体重的发生对死产风险有影响。

相似文献

引用本文的文献

本文引用的文献

1
Stillbirths: rates, risk factors, and acceleration towards 2030.死产:发生率、风险因素及 2030 年目标进展
Lancet. 2016 Feb 6;387(10018):587-603. doi: 10.1016/S0140-6736(15)00837-5. Epub 2016 Jan 19.
2
Stillbirths in sub-Saharan Africa: unspoken grief.撒哈拉以南非洲地区的死产:难以言说的悲痛。
Lancet. 2016 Feb 6;387(10018):e16-e18. doi: 10.1016/S0140-6736(15)01171-X. Epub 2016 Jan 19.
9
Preventing those so-called stillbirths.预防那些所谓的死产。
Bull World Health Organ. 2008 Apr;86(4):315-6. doi: 10.2471/blt.07.049924.

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验