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本文引用的文献

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Prevalence and associated factors of pre-eclampsia among pregnant women attending anti-natal care at Mettu Karl referal hospital, Ethiopia: cross-sectional study.埃塞俄比亚梅图卡尔转诊医院接受产前检查的孕妇中先兆子痫的患病率及相关因素:横断面研究
Clin Hypertens. 2019 Jul 1;25:14. doi: 10.1186/s40885-019-0120-1. eCollection 2019.
2
Hypertensive disorder of pregnancy prevalence and associated factors among pregnant women attending ante natal care at Gondar town health Institutions, North West Ethiopia 2017.2017 年,在埃塞俄比亚西北部贡德尔镇医疗机构接受产前护理的孕妇中,妊娠高血压疾病的患病率及相关因素。
Pregnancy Hypertens. 2019 Apr;16:79-84. doi: 10.1016/j.preghy.2019.03.007. Epub 2019 Mar 12.
3
Pregnancy Induced Hypertension and Associated Factors among Women Attending Delivery Service at Mizan-Tepi University Teaching Hospital, Tepi General Hospital and Gebretsadik Shawo Hospital, Southwest, Ethiopia.埃塞俄比亚西南部米赞-泰皮大学教学医院、泰皮综合医院和格布雷萨迪克·沙沃医院分娩服务女性中的妊娠高血压及其相关因素
Ethiop J Health Sci. 2019 Jan;29(1):831-840. doi: 10.4314/ejhs.v29i1.4.
4
Obesity and Preeclampsia: Common Pathophysiological Mechanisms.肥胖与子痫前期:共同的病理生理机制
Front Physiol. 2018 Dec 19;9:1838. doi: 10.3389/fphys.2018.01838. eCollection 2018.
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Risk factors for hypertensive disorders of pregnancy among mothers in Tigray region, Ethiopia: matched case-control study.埃塞俄比亚提格雷地区孕妇高血压疾病的风险因素:匹配病例对照研究。
BMC Pregnancy Childbirth. 2018 Dec 6;18(1):482. doi: 10.1186/s12884-018-2106-5.
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The effect of antenatal care on use of institutional delivery service and postnatal care in Ethiopia: a systematic review and meta-analysis.埃塞俄比亚产前护理对机构分娩服务利用及产后护理的影响:一项系统评价与荟萃分析
BMC Health Serv Res. 2018 Jul 24;18(1):577. doi: 10.1186/s12913-018-3370-9.
7
The association between pre pregnancy body mass index and risk of preeclampsia: a registry based study from Tanzania.孕前体重指数与子痫前期风险的关系:来自坦桑尼亚的基于注册研究。
BMC Pregnancy Childbirth. 2018 Feb 21;18(1):56. doi: 10.1186/s12884-018-1687-3.
8
Severe preeclampsia and eclampsia: incidence, complications, and perinatal outcomes at a low-resource setting, Mpilo Central Hospital, Bulawayo, Zimbabwe.重度子痫前期和子痫:津巴布韦布拉瓦约市姆皮洛中心医院资源匮乏地区的发病率、并发症及围产期结局
Int J Womens Health. 2017 May 17;9:353-357. doi: 10.2147/IJWH.S131934. eCollection 2017.
9
Preeclampsia and associated factors among pregnant women attending antenatal care in Dessie referral hospital, Northeast Ethiopia: a hospital-based study.埃塞俄比亚东北部德西转诊医院接受产前护理的孕妇中的先兆子痫及相关因素:一项基于医院的研究。
BMC Pregnancy Childbirth. 2015 Mar 29;15:73. doi: 10.1186/s12884-015-0502-7.
10
Maternal outcomes of hypertensive disorders in pregnancy at Korle Bu Teaching Hospital, Ghana.加纳科勒布教学医院妊娠高血压疾病的孕产妇结局
Int J Gynaecol Obstet. 2014 Dec;127(3):238-42. doi: 10.1016/j.ijgo.2014.06.010. Epub 2014 Jul 24.

在德布雷塔博尔专科医院接受分娩服务的妇女中,子痫前期的严重程度及其相关因素。

Magnitude of Preeclampsia and Associated Factors Among Women Attending Delivery Service in Debre Tabor Specialized Hospital.

机构信息

Department of Midwifery, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.

出版信息

Ethiop J Health Sci. 2022 Mar;32(2):279-288. doi: 10.4314/ejhs.v32i2.8.

DOI:10.4314/ejhs.v32i2.8
PMID:35693587
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9175208/
Abstract

BACKGROUND

Preeclampsia is among the leading causes of maternal and perinatal morbidity and mortality, and it continues as a global health concern. Therefore, this study was aimed to assess the magnitude of pre-eclampsia and its determinant factors among women attending delivery services in Debre Tabor Comprehensive Specialized Hospital Northwest Ethiopia.

METHODS

Institutional-based cross-sectional study was conducted among 261 women from January 1- 30, 2021. A systematic sampling technique was applied. Data were collected using a structured and pre-tested questionnaire. The collected data were entered using Epi-data version 4.2 and analyzed by statistical package for social science (SPSS) version 23. A significant association was declared at a p-value of < 0.05 with a 95% Confidence interval.

RESULTS

Overall 15,7% of women had preeclampsia. Age at menarche (10-15 years) (AOR=4.79; 95% CI: 2.07-15.27), unwanted pregnancy (AOR:1.29; 95% CI: 1.59-8.44), history of chronic hypertension (AOR:2.93; 95% CI: 1.00-6.20), BMI ≥ 30 Kg/m (AOR:1.79; 95% CI: 1.06-3.65), and alcohol consumption (AOR:2.12; 95% CI: 4.00-14.14) were significantly associated with preeclampsia.

CONCLUSION

This study showed that the magnitude of preeclampsia was significantly high compared with previous national reports. Early menarche age, the status of current pregnancies, history of chronic hypertension, BMI, and alcohol consumption were significantly associated with preeclampsia. Therefore, the government and respective stakeholders should be strengthening antenatal care services to early identify and manage women with preeclampsia. Besides, health education and promotion should be strengthened regarding the maintenance of appropriate body weight and alcohol intake before pregnancy.

摘要

背景

子痫前期是孕产妇和围产儿发病率和死亡率的主要原因之一,它仍然是全球关注的健康问题。因此,本研究旨在评估在埃塞俄比亚西北部德布雷塔博尔综合专科医院接受分娩服务的妇女中子痫前期的发生程度及其决定因素。

方法

2021 年 1 月 1 日至 30 日,采用基于机构的横断面研究方法,对 261 名妇女进行了研究。采用系统抽样技术。使用结构化和预测试问卷收集数据。使用 EpiData 版本 4.2 录入收集的数据,并使用统计软件包 for social science (SPSS) 版本 23 进行分析。具有 95%置信区间的 p 值<0.05 被认为具有显著相关性。

结果

总的来说,15.7%的妇女患有子痫前期。初潮年龄(10-15 岁)(AOR=4.79;95%CI:2.07-15.27)、意外怀孕(AOR:1.29;95%CI:1.59-8.44)、慢性高血压病史(AOR:2.93;95%CI:1.00-6.20)、BMI≥30kg/m(AOR:1.79;95%CI:1.06-3.65)和饮酒(AOR:2.12;95%CI:4.00-14.14)与子痫前期显著相关。

结论

本研究表明,与之前的全国报告相比,子痫前期的发生率显著较高。初潮年龄早、当前妊娠状况、慢性高血压病史、BMI 和饮酒与子痫前期显著相关。因此,政府和相关利益攸关方应加强产前保健服务,以尽早识别和管理子痫前期妇女。此外,应加强有关在怀孕前保持适当体重和饮酒量的健康教育和宣传。