Oliveira Dinamene, de Oliveira José Martinez, Martins Maria do Rosário, Barroso Maria Rosalina, Castro Rita, Cordeiro Lemuel, Pereira Filomena
Global Health and Tropical Medicine, Instituto de Higiene e Medicina Tropical-Universidade Nova de Lisboa, Lisboa, Portugal.
Health Sciences Faculty, Universidade da Beira Interior, Covilhã, Portugal.
Matern Child Health J. 2023 Dec;27(12):2091-2098. doi: 10.1007/s10995-023-03782-6. Epub 2023 Oct 10.
To characterize pregnant women admitted to Irene Neto Maternity Hospital, Lubango city, Huíla province, and their pregnancy outcomes.
We conducted a descriptive cross-sectional facility-based survey between October 2016 and September 2017, involving 500 pregnant women, followed from admission in labor until the end of delivery. Mean (SD) was computed for quantitative variables, while relative and absolute frequencies were determined for categorical variables. Additionally, confidence intervals were estimated.
Among pregnant women 18.3% were adolescents (≤ 19 years) and 14.5% had advanced maternal age (≥ 35 years). Illiteracy was reported by 8.2%. One in three (33.6%) had a short stature (< 1.55 m). Malaria was the most frequent infection during pregnancy (16.3%). Upon admission, 18.1% were anemic (Hb < 11 g/dl) and 36.0% had hypertension (SBP ≥ 140 mmHg and/or DBP ≥ 90 mmHg), contrasting with the few cases reported of chronic hypertension and pregnancy-induced hypertension. There were 15 twin pregnancies. Cesarean section was performed in 25.2% of the women, although there was no medical indication for 23.0% of women having cesareans. Two maternal deaths occurred in our sample. Among live births from singleton pregnancies (97.1%), birth asphyxia (Apgar < 7 at 5 min) was observed in 22.7% and 10.3% had low birth weight (< 2.5 kg).
There are very few studies reporting pregnancy outcomes in Angola. This analysis presents data from Huíla province, the second most populous province. We identified characteristics for higher risk of adverse pregnancy outcomes: adolescence, illiteracy, and short stature. Among newborn outcomes, birth asphyxia and low birth weight demand special attention. Further research is needed to explore the non-medical indications for cesarean section and to better understand the twinning rate in Lubango.
对入住威拉省卢班戈市艾琳·内托妇产医院的孕妇及其妊娠结局进行特征描述。
我们在2016年10月至2017年9月期间开展了一项基于医疗机构的描述性横断面调查，涉及500名孕妇，从入院分娩直至分娩结束进行跟踪。计算定量变量的均值（标准差），确定分类变量的相对频率和绝对频率。此外，还估计了置信区间。
在孕妇中，18.3%为青少年（≤19岁），14.5%为高龄产妇（≥35岁）。文盲率为8.2%。三分之一（33.6%）的孕妇身材矮小（<1.55米）。疟疾是孕期最常见的感染（16.3%）。入院时，18.1%的孕妇贫血（血红蛋白<11克/分升），36.0%的孕妇患有高血压（收缩压≥140毫米汞柱和/或舒张压≥90毫米汞柱），与慢性高血压和妊娠高血压病例较少形成对比。有15例双胎妊娠。25.2%的产妇接受了剖宫产，尽管23.0%接受剖宫产的产妇并无医学指征。我们的样本中有2例孕产妇死亡。在单胎妊娠的活产儿中（97.1%），22.7%的新生儿出现出生窒息（5分钟时阿氏评分<7分），10.3%的新生儿出生体重低（<2.5千克）。
安哥拉报道妊娠结局的研究非常少。本分析呈现了人口第二大省威拉省的数据。我们确定了不良妊娠结局风险较高的特征：青少年、文盲和身材矮小。在新生儿结局方面，出生窒息和低出生体重需要特别关注。需要进一步研究以探讨剖宫产的非医学指征，并更好地了解卢班戈的双胎率。
