Department of Health Sciences, College of Natural and Health Sciences, Zayed University, Abu Dhabi P.O. Box 144534, United Arab Emirates.
Department of Mathematics and Statistics, College of Natural and Health Sciences, Zayed University, Abu Dhabi P.O. Box 144534, United Arab Emirates.
Nutrients. 2022 Nov 5;14(21):4686. doi: 10.3390/nu14214686.
The literature shows that grand multipara mothers are major contributors to poor maternal and perinatal health compared to multipara mothers. Data regarding parity profiles are essential, especially in rapidly transforming countries such as the United Arab Emirates (UAE). This study aimed to investigate the prevalence and factors associated with multipara mothers compared to multipara mothers in Abu Dhabi, UAE. The data were collected from seven health care centers located in Abu Dhabi.From1818 enrolled mothers, the prevalence of grand multipara was 135(7.4%, 95% Confidence Interval (CI) = 7.2, 7.6). In logistic regression analysis, factors associated positively with grand multipara were a higher maternal age (Adjusted Odd Ratio (AOR) = 1.28, 95% CI = 1.21, 1.34), Arab mothers (AOR = 5.66, 95% CI 2.81, 11.40), overweight pre-pregnancy (AOR = 2.01, 95% CI = 1.26, 3.21), and limited family support for breastfeeding (AOR = 2.05, 95% CI = 1.21, 3.50). The prevalence of grand multipara was low compared to previous researching the UAE. Sociodemographic factors were more prominent and associated with grand multipara mothers compared to obstetrical ones. Therefore, more programs (nutritional, physical activities, and psychosocial) are needed to improve maternal and perinatal health to support grand multipara mothers. Further, research is required to explore the difference in parity based on nationalities, especially from a sociocultural point of view.
文献表明,与多产妇相比,经产妇中的高龄产妇对产妇和围产期健康的不良影响更大。有关生育模式的资料非常重要,尤其是在像阿拉伯联合酋长国(阿联酋)这样快速转型的国家。本研究旨在调查与阿布扎比的多产妇相比,阿联酋阿布扎比经产妇的流行率和相关因素。数据来自位于阿布扎比的七家医疗保健中心。在 1818 名入组母亲中,高龄经产妇的流行率为 135 例(7.4%,95%置信区间[CI]为 7.2%,7.6%)。在逻辑回归分析中,与高龄经产妇呈正相关的因素是母亲年龄较高(调整后的优势比[AOR]=1.28,95%CI=1.21,1.34)、母亲为阿拉伯人(AOR=5.66,95%CI=2.81,11.40)、妊娠前超重(AOR=2.01,95%CI=1.26,3.21)和母乳喂养的家庭支持有限(AOR=2.05,95%CI=1.21,3.50)。与之前在阿联酋进行的研究相比,高龄经产妇的流行率较低。与产科因素相比,社会人口因素更为突出,与高龄经产妇母亲相关。因此,需要更多的方案(营养、体育活动和社会心理)来改善产妇和围产期健康,以支持高龄经产妇母亲。此外,还需要研究基于国籍的生育模式差异,特别是从社会文化角度。