Hailu A, Kebede D
Department of Community Health, Gondar College of Medical Sciences, Gondar Ethiopia.
East Afr Med J. 1994 Oct;71(10):661-6.
A survey was conducted in 13 urban kebeles and 13 rural villages to assess the magnitude of high risk pregnancies. A total of 567 pregnant women were included in the study. Of these, 28.6% were younger than 20 or older than 34 years. Early marriage below the age of 20 were reported by 85%. 21.7% and 22.2% were nulliparous and multiparous women, respectively. 39.2% were illiterate and 42.9% with a very low income. 14.6% gave a history of abortion, 13.1% of infant deaths, 6.3% of postpartum haemorrhage and 1.1% of antepartum haemorrhage. Abnormal height was recorded in 18.5%, Albuminuria in 11.5% and abnormal diastolic blood pressure in 12.2%, where 2.9% and 9.2% were classified as pre-eclamptic and gestational hypertensive. 52.3% were not receiving antenatal care services. Those who had at least one of the risk factors were 85%. The results from this study indicate the need for increased Family Planning services and appropriate training, and use of community health workers.
在13个城市社区和13个乡村开展了一项调查，以评估高危妊娠的严重程度。共有567名孕妇纳入该研究。其中，28.6%的孕妇年龄小于20岁或大于34岁。85%的孕妇报告有早婚情况（早婚年龄低于20岁）。初产妇和经产妇分别占21.7%和22.2%。39.2%的孕妇为文盲，42.9%的孕妇收入极低。14.6%的孕妇有流产史，13.1%的孕妇有婴儿死亡史，6.3%的孕妇有产后出血史，1.1%的孕妇有产前出血史。身高异常的孕妇占18.5%，蛋白尿孕妇占11.5%，舒张压异常孕妇占12.2%，其中2.9%和9.2%的孕妇分别被归类为子痫前期和妊娠期高血压。52.3%的孕妇未接受产前保健服务。有至少一种危险因素的孕妇占85%。该研究结果表明需要增加计划生育服务、提供适当培训并利用社区卫生工作者。
