教学医院产后需住院治疗的产妇发病率：一项描述性横断面研究。

Postpartum Maternal Morbidity Requiring Hospital Admission in A Teaching Hospital: A Descriptive Cross-sectional Study.

机构信息

Department of Obstetrics and Gynecology, Manipal College of Medical Sciences, Pokhara, Nepal.

Nobel College, Sinamangal, Kathmandu, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2020 Sep 27;58(229):686-689. doi: 10.31729/jnma.5125.

DOI:10.31729/jnma.5125

PMID:33068092

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7580332/

Abstract

INTRODUCTION

Major concern shifts from mother to newborn in postnatal period. Postpartum complications contribute to a lot of maternal morbidity and mortality. This study aims to determine the prevalence of morbidities in women following delivery at Manipal Teaching Hospital so as to identify and improve maternal quality care.

METHODS

This is a descriptive cross-sectional study conducted at department of Obstetrics and Gynaecology, Manipal Teaching Hospital from September 2018 to March 2020 after ethical approval from the institutional review committee with reference number 1296. All the women presenting to the department during the study period were included in the study. Women who were admitted to accompany and nurse their babies for neonatal problems were excluded.Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Data were entered in Excel and analysed in SPSS.

RESULTS

Among 3510 cases, 104 women were admitted with various postpartum morbidities. The prevalence of postpartum morbidity was found to be 104 (2.96%) at 95% Confidence Interval (2.67-3.25). Puerperal sepsis was diagnosed in 23 (22.11%), preeclampsia in 20(19.23%) eclampsia in 14 (13.46%) and haemorrhage in 14 (13.46%) respectively. Majority of patients, 83.65% belonged to age group of 20-34 years. Nine patients (8.65%) were teenage mothers.

CONCLUSIONS

Puerperal sepsis, preeclampsia, eclampsia and haemorrhage were the major postpartum complications requiring admissions in hospital.

摘要

简介

产后阶段的主要关注点从母亲转移到新生儿。产后并发症导致了大量的产妇发病率和死亡率。本研究旨在确定曼尼帕尔教学医院分娩后妇女患病的患病率，以便识别和改善产妇护理质量。

方法

这是一项在曼尼帕尔教学医院妇产科进行的描述性横断面研究，在获得机构审查委员会的伦理批准后，于 2018 年 9 月至 2020 年 3 月进行，参考编号为 1296。在研究期间到该部门就诊的所有妇女都包括在研究中。因新生儿问题住院陪伴和护理婴儿的妇女被排除在外。在 95%置信区间内计算了点估计值以及二进制数据的频率和比例。数据输入 Excel 并在 SPSS 中进行分析。

结果

在 3510 例病例中，有 104 例妇女因各种产后疾病住院。产后发病率为 104 例（2.96%），95%置信区间（2.67-3.25）。诊断出产褥期脓毒症 23 例（22.11%）、子痫前期 20 例（19.23%）、子痫 14 例（13.46%）和出血 14 例（13.46%）。大多数患者，83.65%属于 20-34 岁年龄组。有 9 名患者（8.65%）为未成年母亲。