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产妇年龄与流产:苏丹的独特关联曲线。

Maternal age and miscarriage: A unique association curve in Sudan.

机构信息

King Khalid University, Department of obstetrics and gynecology, College Of Medicine, Abha, Saudi Arabia.

Faculty of Medicine, University of Khartoum, Khartoum, Sudan.

出版信息

Afr J Reprod Health. 2022 Jul;26(7):15-21. doi: 10.29063/ajrh2022/v26i7.2.

Abstract

This study's aim was to estimate the prevalence and maternal age and other risk factors of miscarriage among Sudanese women. A cross-sectional study was conducted at the Saad Abuelela Tertiary Hospital in Khartoum, Sudan, from February to December 2019. Sociodemographic, obstetric and clinical data were collected. A multivariate logistic regression analysis was performed. Four hundred thirteen (20.5%) women reported experiencing a miscarriage. Risk factors included older age, high parity, histories of caesarean delivery, and obesity. Logistic regression showed that the lowest risk for women aged less than 20 years (adjusted odds ratio [AOR], 0.33) or 20 to 24 years (AOR, 0.57), primiparas (AOR, 0.42) and women educated below the secondary level (AOR, 0.78). Unlike the global age-associated risk of miscarriage, the risk of miscarriage among Sudanese women follows a unique curve in relation to maternal age. Interestingly, the curve showed a lower risk for women less than 20 years and at 40 years.

摘要

这项研究旨在估计苏丹妇女流产的发生率、母亲年龄和其他风险因素。2019 年 2 月至 12 月,在苏丹喀土穆的 Saad Abuelela 三级医院进行了一项横断面研究。收集了社会人口学、产科和临床数据。进行了多变量逻辑回归分析。413 名(20.5%)妇女报告曾经历过流产。风险因素包括年龄较大、多胎次、剖宫产史和肥胖。逻辑回归显示,20 岁以下(调整后的优势比 [AOR],0.33)或 20 至 24 岁(AOR,0.57)、初产妇(AOR,0.42)和受教育程度低于中学的妇女(AOR,0.78)的风险最低。与全球与年龄相关的流产风险不同,苏丹妇女的流产风险与母亲年龄有关,呈独特的曲线。有趣的是,该曲线显示 20 岁以下和 40 岁的女性风险较低。

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