2019年埃塞俄比亚锡达马州哈瓦萨市哈瓦萨大学综合专科医院分娩女性死产的决定因素：一项病例对照研究

Determinants of stillbirths among women who gave birth at Hawassa university comprehensive specialized hospital, Hawassa, Sidama, Ethiopia 2019: a case-control study.

作者信息

Fikre Rekiku, Ejeta Samuel, Gari Taye, Alemayhu Akalewold

机构信息

Mettu University, College of Health Science, P.O. Box 2156, Mettu, Ethiopia.

Hawassa University, College of Medicine and Health Science, School of public health, P.O. Box 1560, Awassa, Ethiopia.

出版信息

Matern Health Neonatol Perinatol. 2021 Feb 17;7(1):10. doi: 10.1186/s40748-021-00128-4.

DOI:10.1186/s40748-021-00128-4

PMID:33597030

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7888129/

Abstract

BACKGROUND

Globally over 2.6 million pregnancy ends with stillbirth annually. Despite this fact, only a few sherds of evidence were available about factors associated with stillbirth in Ethiopia. Therefore, the study aimed to spot factors related to stillbirth among women who gave birth at Hawassa University Comprehensive Specialized Hospital Hawassa, Sidama Ethiopia, 2019.

METHODS

Facility-based unmatched case-control study was conducted at Hawassa University Comprehensive Specialized Hospital. Cases were selected using simple random sampling technique and controls were recruited to the study consecutively after every case selection with case to control ratio of 1 to 3. Data were coded and entered into Epi-data version 3.1 and exported to SPSS version 24 for analysis.

RESULTS

A total of 106 cases and 318 controls were included in the study. Number of antenatal care visit [AOR = 0.38, 95% CI (0.15, 0.95)], lack of partograph utilization [AOR = 4.1 95% CI (2.04, 10.5)], prolonged labor [AOR = 6.5, 95% CI (2.9, 14.4)], obstructed labor [AOR = 3.5, 95% CI (1.5, 9.4)], and congenital defect [AOR = 9.7, 95% CI (4.08, 23.0)] were significantly associated with stillbirth.

CONCLUSION

Absence of partograph utilization, prolonged labor, obstructed labor, antepartum hemorrhage and congenital anomaly were found to have positive association with stillbirth.

摘要

背景

全球范围内，每年有超过260万例妊娠以死产告终。尽管如此，关于埃塞俄比亚死产相关因素的证据却寥寥无几。因此，本研究旨在找出2019年在埃塞俄比亚锡达马州哈瓦萨市哈瓦萨大学综合专科医院分娩的妇女中与死产相关的因素。

方法

在哈瓦萨大学综合专科医院开展了一项基于机构的非匹配病例对照研究。病例采用简单随机抽样技术选取，每选取一例病例后，连续招募对照，病例与对照的比例为1:3。数据进行编码并录入Epi-data 3.1版本，然后导出至SPSS 24版本进行分析。

结果

本研究共纳入106例病例和318例对照。产前检查次数[AOR = 0.38，95%CI(0.15, 0.95)]、未使用产程图[AOR = 4.1，95%CI(2.04, 10.5)]、产程延长[AOR = 6.5，95%CI(2.9, 14.4)]、产程梗阻[AOR = 3.5，95%CI(1.5, 9.4)]以及先天性缺陷[AOR = 9.7，95%CI(4.08, 23.0)]与死产显著相关。