Shree Tuhina, Agrawal Deepika, Kaswan Pradeep, Manna Souvik
Community Medicine, ESIC Medical College and Hospital, Alwar, Rajasthan, India.
J Family Med Prim Care. 2024 Nov;13(11):4853-4860. doi: 10.4103/jfmpc.jfmpc_336_24. Epub 2024 Nov 18.
The postpartum period is critically important for comprehensive obstetric care; however, most women are neglected during this important period.
This study was carried out to determine the burden of postpartum morbidities and associated factors among the urban vulnerable population in Gautam Buddha district, Uttar Pradesh.
A cross-sectional study was conducted among 150 postpartum women in urban slums of Gautam Buddha district. A semi-structured questionnaire was used along with a physical examination and assessment of anemia by Sahli's hemoglobinometer.
A total of 106 (70.7%) mothers reported at least one of the postpartum morbidities (PPMs). The most frequently reported morbidity was anemia (55.3%) followed by backache (29.3%). Almost a third (39, 36.8%) of all women, who suffered from PPM, did not seek any treatment for the same. Univariate analysis revealed that morbidities were higher among women with low literacy (Odds Ratio, OR: 5.63, 95% CI: 2.508-13.54, = 0.000), low socioeconomic status (OR: 0.317, 95% CI: 0.151-0.657, = 0.002), and inadequate antenatal care (OR: 0.108, 95% CI: 0.044-0.246, = 0.0001). Similarly, young mothers (OR: 2.599, 95% CI: 1.332-5.14), less educated (OR = 3.603, 95% CI: 1.838-7.203, = 0.000), those from lower economic status (OR: 0.247, 95% CI: 0.119-0.497, = 0.001), with inadequate antenatal care (OR: 0.112, 95% CI: 0.052-0.232, = 0.005), and low iron folic acid intake (OR: 0.371, 95% CI: 0.184-0.732, = 0.004) showed higher prevalence of anemia.
The role of education and adequate antenatal care are highlighted in the study. Antenatal visits should be utilized as opportunities to increase awareness regarding various aspects of care during the postnatal period. Maintaining more comprehensive support and involvement between health care providers and the mothers is needed to prevent many of these postpartum morbidities.
产后时期对于全面的产科护理至关重要；然而，在此重要时期大多数女性被忽视。
本研究旨在确定北方邦 Gautam Buddha 区城市弱势群体中产后发病情况及其相关因素。
在 Gautam Buddha 区城市贫民窟的 150 名产后妇女中进行了一项横断面研究。使用了半结构化问卷，并结合体格检查以及用 Sahli 血红蛋白计评估贫血情况。
共有 106 名（70.7%）母亲报告至少有一种产后发病情况（PPM）。最常报告的发病情况是贫血（55.3%），其次是背痛（29.3%）。在所有患有产后发病情况的妇女中，近三分之一（39 名，36.8%）未就其发病情况寻求任何治疗。单因素分析显示，识字率低的女性发病情况更多（优势比，OR：5.63，95%置信区间：2.508 - 13.54，P = 0.000），社会经济地位低的女性（OR：0.317，95%置信区间：0.151 - 0.657，P = 0.002），以及产前护理不足的女性（OR：0.108，95%置信区间：0.044 - 0.246，P = 0.0001）。同样，年轻母亲（OR：2.599，95%置信区间：1.332 - 5.14）、受教育程度较低（OR = 3.603，95%置信区间：1.838 - 7.203，P = 0.000）、经济地位较低（OR：0.247，95%置信区间：0.119 - 0.497，P = 0.001）、产前护理不足（OR：0.112，95%置信区间：0.052 - 0.232，P = 0.005）以及铁叶酸摄入量低（OR：0.371，95%置信区间：0.184 - 0.732，P = 0.004）的女性贫血患病率较高。
本研究突出了教育和充分产前护理的作用。产前检查应被用作提高对产后护理各方面认识的机会。医疗保健提供者与母亲之间需要保持更全面的支持和参与，以预防许多此类产后发病情况。
