索马里摩加迪沙两家妇产医院中青少年产妇所生婴儿的围产期早期结局。
Early perinatal outcomes of babies born to adolescent mothers at two maternity hospitals in Mogadishu, Somalia.
机构信息
Makerere University College of Health Sciences, Paediatrics and Child Health.
Mulago National Referral Hospital, Paediatrics and Child Health.
出版信息
Afr Health Sci. 2023 Jun;23(2):715-725. doi: 10.4314/ahs.v23i2.82.
BACKGROUND
Adolescent motherhood remains a major problem in developing countries. We set out to describe the perinatal outcomes of infants born to adolescent mothers and to determine factors associated with birth asphyxia among these infants in Mogadishu, Somalia.
METHODS
This cross-sectional study involved adolescent mothers who presented in labor. Sociodemographic and medical data was collected and mother-infant pairs were followed up at 24hrs. Poor perinatal outcomes were: low birth weight, birth asphyxia, death or hospitalization after 24 hours. Data was entered into Epi data 3.1 and analysed using STATA version 12.0.
RESULTS
Of the 270 adolescents, mean age was 17.7 years (±1.19), 89% were married, 94% were unemployed and 54% had not received formal education. Of the 270 babies born, 70 (25.9%) had poor perinatal outcomes which included; 35 (12.9%) died; of whom 30 (11.1%) were stillbirths. Thirty-two infants (13.3%) had birth asphyxia and 18 (6.7%) had low birth weight. Prolonged labor (p-value=<0.001) and preterm birth (p-value=0.023) were significantly associated with birth asphyxia while living in Mogadishu was protective (p- value=0.018).
CONCLUSIONS
About one in four adolescent mother's babies had poor perinatal outcomes. Prolonged labor and preterm delivery and were associated with birth asphyxia while residing closer to the facilities was protective.
背景
青少年生育仍然是发展中国家的一个主要问题。我们旨在描述索马里摩加迪沙青少年母亲所生婴儿的围产期结局，并确定这些婴儿中与出生窒息相关的因素。
方法
本横断面研究纳入了临产的青少年母亲。收集社会人口统计学和医学数据，并在 24 小时内对母婴对进行随访。不良围产期结局包括：低出生体重、出生窒息、24 小时后死亡或住院。数据输入 Epi data 3.1 并使用 STATA 版本 12.0 进行分析。
结果
在 270 名青少年中，平均年龄为 17.7 岁（±1.19），89%已婚，94%失业，54%未接受正规教育。在 270 名出生婴儿中，70 名（25.9%）有不良围产期结局，包括 35 名（12.9%）死亡；其中 30 名（11.1%）为死产。32 名婴儿（13.3%）有出生窒息，18 名（6.7%）有低出生体重。产程延长（p 值<0.001）和早产（p 值=0.023）与出生窒息显著相关，而居住在摩加迪沙则具有保护作用（p 值=0.018）。
结论
大约四分之一的青少年母亲的婴儿有不良围产期结局。产程延长和早产与出生窒息相关，而靠近医疗机构则具有保护作用。
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