Shinyanga Referral Regional hospital, P.O.Box 17, Shinyanga, Tanzania.
Department of obstetrics and gynecology, Catholic university of health and Allied Sciences, P.O.Box 1464, Mwanza, Tanzania.
Afr Health Sci. 2022 Sep;22(3):72-80. doi: 10.4314/ahs.v22i3.9.
is one of the commonest cause of stillbirths world-wide. This study investigated the magnitude of among women with macerated stillbirth in Mwanza, Tanzania.
A cross-sectional study involving 301 women with macerated stillbirths attending selected health facilities in the region of Mwanza was conducted between October-2017 and March-2018. Detection of was done using venereal diseases research laboratory (VDRL) and hemagglutination test (TPHA). Data were analyzed by the STATA version 13.
The median age of the enrolled women was 27 (IQR: 22 - 34) years. Eighteen (6.0%, 95% CI: 3.0-8.0) of women were seropositive. Seropositivity of was significantly higher among women residing in rural areas than urban areas (p=0.010), and among HIV seropositive than HIV seronegative women (p=0.036). By multivariable regression analysis, the odds of being seropositive were significantly high among women with positive HIV serostatus (OR: 3.9, 95% CI: 1.2-14.1, p=0.036) and those residing in rural areas (OR: 5.6, 95% CI: 1.5-20.3, p=0.010).
Seropositivity of is higher among women with macerated stillbirth than in normal pregnant women as previously reported which calls for the need to improve screening services in rural areas of Tanzania.
是全世界导致死胎的最常见原因之一。本研究调查了坦桑尼亚姆万扎地区浸泡死胎妇女中 的流行程度。
2017 年 10 月至 2018 年 3 月期间，在姆万扎地区的选定卫生机构进行了一项涉及 301 名浸泡死胎妇女的横断面研究。使用性病研究实验室（VDRL）和 血凝试验（TPHA）检测 。数据由 STATA 版本 13 分析。
纳入妇女的中位年龄为 27 岁（IQR：22-34）岁。18 名（6.0%，95%CI：3.0-8.0）名妇女 血清阳性。农村地区妇女的 血清阳性率明显高于城市地区（p=0.010），HIV 血清阳性妇女的 血清阳性率明显高于 HIV 血清阴性妇女（p=0.036）。多变量回归分析显示，HIV 血清阳性状态（OR：3.9，95%CI：1.2-14.1，p=0.036）和农村地区（OR：5.6，95%CI：1.5-20.3，p=0.010）妇女的 血清阳性率显著升高。
与先前报道的正常孕妇相比，浸泡死胎妇女的 血清阳性率更高，这表明坦桑尼亚农村地区需要改善筛查服务。
