Risk factors of premature rupture of membranes in public hospitals at Mekele city, Tigray, a case control study.
Risk factors of premature rupture of membranes in public hospitals at Mekele city, Tigray, a case control study.
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案例控制研究的梅克尔市公立医院中膜过早破裂的危险因素。
DOI：
10.1186/s12884-018-2016-6
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发表时间：
2018-09-29
影响因子：
3.1
通讯作者：
Welu G
中科院分区：
文献类型：
--
作者：
Assefa NE;Berhe H;Girma F;Berhe K;Berhe YZ;Gebreheat G;Werid WM;Berhe A;Rufae HB;Welu G
胎膜早破的发生率约占所有分娩的5%至10%。胎膜早破的妇女有羊膜内感染、产后感染、子宫内膜炎和死亡的危险。胎膜早破母亲产下的新生儿有呼吸窘迫综合征、败血症、脑室内出血和死亡的高风险。对埃塞俄比亚的风险因素知之甚少。因此，本研究旨在确定埃塞俄比亚提格雷州Mekelle市公立医院收治的孕妇中胎膜早破的风险因素。对2016年2月至4月在Mekelle市公立医院住院的孕妇的240份样本（160份对照和80份病例）实施了基于医院的非匹配病例对照研究设计。数据收集由访谈者管理的结构化问卷和检查表。采用二元Logistic回归模型分析因变量和自变量之间的关系，采用多变量Logistic回归分析胎膜早破的独立预测因素。共有160名对照和80例病例入组研究。多因素Logistic回归分析显示流产史[AOR 3.06（CI：1.39，6.71）]，PROM病史[AOR 4.45（CI：1.87，10.6）]，剖宫产史[AOR 3.15（CI：1.05，9.46）]和首次妊娠阴道分泌物异常[AOR 3.31（CI：1.67，6.56）]与胎膜早破呈正相关。过去的产科史和指数妊娠的风险与胎膜早破有关。这项研究的发现提示了对泌尿生殖道感染的早期识别和治疗。
The incidence of premature rupture of membranes ranges from about 5% to 10% of all deliveries. A woman with premature rupture of membranes is at risk of intra-amniotic infection, postpartum infection, endometritis, and death. A neonate born from premature rupture of membranes mother is at high risk of respiratory distress syndrome, sepsis, intraventricular hemorrhage and death. Little is known regarding the risk factors in Ethiopia. Therefore, this study was conducted to identify risk factors of premature rupture of membranes among pregnant women admitted to public hospitals in Mekelle city, Tigray, Ethiopia. Hospital based unmatched case control study design was implemented on 240 samples (160 controls and 80 cases) from pregnant mothers admitted to public hospitals in Mekelle city from February – April/2016. Data was collected by interviewer administered Structured questionnaire and checklist. Binary logistic regression model was used to see the association between dependent and independent variables and multivariable logistic regression was used to identify the independent predictors of premature rupture of membranes. A total of 160 controls and 80 cases were enrolled in the study. Multivariable logistic regression showed that history of abortion [AOR 3.06 (CI: 1.39, 6.71)], history of PROM [AOR 4.45 (CI: 1.87, 10.6)], history of caesarean section [AOR 3.15(CI: 1.05, 9.46)] and abnormal vaginal discharge in the index pregnancy [AOR 3.31(CI: 1.67, 6.56)] were positively associated with premature rupture of membranes. Past obstetric history and risks in the index pregnancy have an association with premature rupture of membranes. The finding of the study suggests early identification and treatment of genitourinary infection.
DOI：
10.1016/0020-7292(94)90454-5
发表时间：
1994-10-01
影响因子：
3.8
作者：
SPINILLO, A;NICOLA, S;BALTARO, F
通讯作者：
BALTARO, F
影响因子：
7.2
作者：
Ferguson, SE;Smith, GN;Walker, MC
通讯作者：
Walker, MC