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基奈耶和万塔穆里及其下属分中心的初级保健中心产前保健营中孕妇的高危妊娠患病率

Prevalence of High-Risk Pregnancy Among Pregnant Women Attending Antenatal Care Camps in Primary Health Centres in Kinaye and Vantamuri and Their Sub-Centres.

作者信息

Gomindes Austin R, Bhakthavalsalan Resya, Sharma Utkarsh, Johnston Shannon L, Naushad Ashiq

机构信息

School of Medical and Dental Science, University of Birmingham, BIrmingham, GBR.

Major Trauma Services, Queen Elizabeth Hospital Birmingham, Birmingham, GBR.

出版信息

Cureus. 2022 Jul 27;14(7):e27355. doi: 10.7759/cureus.27355. eCollection 2022 Jul.

DOI:10.7759/cureus.27355
PMID:36046327
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9417325/
Abstract

Introduction Identifying pregnancy-related complications and high-risk pregnancies early on and effectively managing care for these pregnant women through a holistic approach guided by the main objectives of antenatal care (ANC) and efficient, good-quality health care through ANC services can reduce the risk of pregnancy-related complications, being favourable for both mother and child. This study was intended to identify the percentage of pregnant women in high-risk groups attending ANC clinics. Objective This study's aim was to understand the prevalence of high-risk pregnancies in women attending ANC camps in Kinaye and Vantamuri villages in Belagavi, India. Methods A community-based cross-sectional study was carried out in a primary healthcare (PHC) setting that included all pregnant women attending antenatal camps and residing in the same areas. With a total study sample size of 200, consisting of pregnant women attending ANC camps in Kinaye and Vantamuri PHC, the data were collected using a pre-tested, pre-designed questionnaire after obtaining written informed consent from the participating pregnant women. Results The data were analysed using a chi-square test to uncover the relationship between socio-demographics, obstetric history, medical variables, and high-risk pregnancy. The results demonstrated that 48.5% of women attending ANC clinics were in the high-risk pregnancy group. Conclusion Pregnancy outcomes are greatly affected by a woman's socio-demographic, obstetric, and medical variables. The WHO recommends a minimum of four ANC visits to safely identify and mitigate the risks and complications of high-risk pregnancy to ensure positive outcomes for both mothers and children.

摘要

引言 尽早识别与妊娠相关的并发症和高危妊娠,并通过以产前保健(ANC)的主要目标为指导的整体方法,有效地管理这些孕妇的护理,并通过ANC服务提供高效、优质的医疗保健,可以降低与妊娠相关并发症的风险,对母亲和孩子都有利。本研究旨在确定参加ANC诊所的高危组孕妇的百分比。

目的 本研究的目的是了解在印度贝拉尔加维Kinaye和Vantamuri村参加ANC营地的妇女中高危妊娠的患病率。

方法 在初级卫生保健(PHC)机构开展了一项基于社区的横断面研究,纳入了所有参加产前营地并居住在同一地区的孕妇。研究总样本量为200,由参加Kinaye和Vantamuri初级卫生保健中心ANC营地的孕妇组成,在获得参与孕妇的书面知情同意后,使用预先测试、预先设计的问卷收集数据。

结果 使用卡方检验分析数据,以揭示社会人口统计学、产科病史、医学变量与高危妊娠之间的关系。结果表明,参加ANC诊所的妇女中有48.5%属于高危妊娠组。

结论 妇女的社会人口统计学、产科和医学变量对妊娠结局有很大影响。世界卫生组织建议至少进行四次ANC检查,以安全地识别和减轻高危妊娠的风险和并发症,确保母亲和孩子都有良好的结局。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f46/9417325/e3c18afae33f/cureus-0014-00000027355-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f46/9417325/e3c18afae33f/cureus-0014-00000027355-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f46/9417325/e3c18afae33f/cureus-0014-00000027355-i01.jpg

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本文引用的文献

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Utilisation, equity and determinants of full antenatal care in India: analysis from the National Family Health Survey 4.印度全产前护理的利用、公平性和决定因素:基于国家家庭健康调查 4 的分析。
BMC Pregnancy Childbirth. 2019 Sep 5;19(1):327. doi: 10.1186/s12884-019-2473-6.
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ISRN Obstet Gynecol. 2011;2011:253964. doi: 10.5402/2011/253964. Epub 2011 Dec 29.
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The transformation of maternal mortality.
孕产妇死亡率的转变。
BMJ. 1992;305(6868):1557-60. doi: 10.1136/bmj.305.6868.1557.