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马来西亚登嘉楼州青少年妊娠中的低出生体重儿:一项横断面研究。

Low birth weight infant among teenage pregnancy in Terengganu, Malaysia: A cross-sectional study.

作者信息

Samsury Siti Fatimah, Tengku Ismail Tengku Alina, Hassan Raihan

机构信息

MD, Master of Public Health (USM), Department of Community Medicine, School of Medical Sciences, Universiti, Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.

MD (USM), PhD (USM), Department of Community Medicine, School of Medical Sciences, Universiti, Sains Malaysia, Kubang Kerian, Kelantan, Malaysia, Email:

出版信息

Malays Fam Physician. 2022 Mar 17;17(1):44-51. doi: 10.51866/oa.59. eCollection 2022 Mar 28.

Abstract

INTRODUCTION

The purpose of this research is to determine the factors associated with low-birth-weight (LBW) infants in teenage pregnancy.

METHODS

A cross-sectional study was conducted in Terengganu, Malaysia, from January 1, 2020, to May 31, 2020. Records of teenage pregnancies in 2018 were retrieved from the Maternal Health Record Book and Pregnant Woman and Postnatal Book Registry. Simple logistic and multiple logistic regression analysis was used to analyse the factors associated with LBW infants in teenage pregnancy.

RESULTS

All 357 cases that fulfilled the study criteria were included. LBW infants were the most common perinatal outcome among teenage pregnancies (19.3%), followed by preterm birth (9.0 %), and both low Apgar score and stillbirth (1.4% each). Factors associated with low-birth-weight infants in teenage pregnancy in Terengganu were a teenage husband (AOR 2.0; 95% CI: 1.01, 3.96; p=0.047) and a mother with a low level of education (AOR 3.07; 95% CI: 1.20, 7.85; p=0.019).

CONCLUSION

Teenage husband and low level of maternal education are significant factors that need to be addressed to improve teenage pregnancy outcomes. Interventions to improve these factors should continue to be encouraged.

摘要

引言

本研究的目的是确定与青少年妊娠中低出生体重(LBW)婴儿相关的因素。

方法

2020年1月1日至2020年5月31日在马来西亚丁加奴进行了一项横断面研究。从孕产妇健康记录册以及孕妇和产后登记册中检索2018年青少年妊娠的记录。采用简单逻辑回归和多元逻辑回归分析来分析青少年妊娠中与低出生体重婴儿相关的因素。

结果

纳入了所有符合研究标准的357例病例。低出生体重婴儿是青少年妊娠中最常见的围产期结局(19.3%),其次是早产(9.0%),以及低阿氏评分和死产(均为1.4%)。在丁加奴,青少年妊娠中与低出生体重婴儿相关的因素是青少年丈夫(比值比2.0;95%置信区间:1.01, 3.96;p = 0.047)和母亲教育程度低(比值比3.07;95%置信区间:1.20, 7.85;p = 0.019)。

结论

青少年丈夫和母亲教育程度低是需要解决以改善青少年妊娠结局的重要因素。应继续鼓励针对这些因素的干预措施。

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