加纳金坦波市立医院孕妇不良分娩结局的决定因素
Determinants of adverse birth outcomes among pregnant women in Kintampo municipal hospital, Ghana.
作者信息
Sumaila Issah, Asumah Mubarick Nungbaso, Hallidu Mustapha, Ndekudugu Abraham, Issifu Shaibu, Twum Anthony, Danquah Collins Boateng, Agodzo Helen, Appiah Paulina Clara, Boateng Fred Adomako
机构信息
Ghana Health Service, Kintampo Municipal Hospital, Bono East, Ghana.
School of Public Health and Allied Science, Catholic University of Ghana, Sunyani, Ghana.
出版信息
Front Glob Womens Health. 2025 Mar 17;6:1444566. doi: 10.3389/fgwh.2025.1444566. eCollection 2025.
OBJECTIVE
To examine the predictors of adverse birth outcomes (ABOs) among pregnant women attending antenatal clinics at the Kintampo Municipal Hospital (KMH) in Ghana.
METHOD
A case-control study was conducted to enrol 408 pregnant women attending antenatal clinic at KMH into the study. Structured questionnaire was used to elicit information from the respondents. Stata version 15 was used to analyse the data. Multiple regression analysis was conducted to determine factors associated with ABOs. Level of statistical significance was established at < 0.05.
RESULTS
Factors that were significantly associated with ABOs were: receiving of ITN (aOR = 2.03, 95% CI: 1.20, 3.45), at least 8 times visits to ANC (aOR = 0.32, 95%CI: 0.15, 0.69), and partner's education (aOR = 0.53, 95%CI: 0.29, 0.96).
CONCLUSION
Contrary to expectations, this study revealed that receiving ITNs during pregnancy was associated with ABOs. Further research is needed to explain why receiving ITNs increases the likelihood of ABOs.
目的
调查加纳金坦波市立医院（KMH）产前门诊孕妇不良分娩结局（ABOs）的预测因素。
方法
开展一项病例对照研究，将408名在KMH产前门诊就诊的孕妇纳入研究。使用结构化问卷从受访者那里获取信息。采用Stata 15版本分析数据。进行多元回归分析以确定与ABOs相关的因素。设定统计学显著性水平为<0.05。
结果
与ABOs显著相关的因素有：使用驱虫蚊帐（调整后比值比[aOR]=2.03，95%置信区间[CI]：1.20，3.45）、至少8次产前检查（aOR=0.32，95%CI：0.15，0.69）以及伴侣的教育程度（aOR=0.53，95%CI：0.29，0.96）。
结论
与预期相反，本研究表明孕期使用驱虫蚊帐与ABOs有关。需要进一步研究来解释为何使用驱虫蚊帐会增加ABOs的可能性。
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