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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.

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。

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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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