Adverse birth outcomes among deliveries at Gondar University Hospital, Northwest Ethiopia.
Adverse birth outcomes among deliveries at Gondar University Hospital, Northwest Ethiopia.
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DOI：
10.1186/1471-2393-14-90
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发表时间：
2014-02-27
影响因子：
3.1
通讯作者：
Zeleke BM
中科院分区：
文献类型：
--
作者：
Adane AA;Ayele TA;Ararsa LG;Bitew BD;Zeleke BM
不良出生结果是发展中国家的主要公共卫生问题。尽管在包括埃塞俄比亚在内的发展中国家缺乏关于不良分娩结果和风险因素的数据，但这些数据对于规划妇幼保健服务非常重要。因此，本研究旨在确定埃塞俄比亚西北部贡达尔大学医院分娩中不良分娩结局的患病率及相关因素。2013年2月在贡达尔大学医院进行了基于机构的横断面研究。在口头知情同意后，采用预先测试和结构化问卷对490名妇女进行面对面访谈。根据最后一次正常月经确定胎龄。按照标准测量出生体重。拟合多重逻辑回归，并计算95%置信区间的优势比，以确定相关因素。女性平均年龄26.2岁（±5.2 SD）。分娩妇女艾滋病毒感染率为4.8%。约23%的妇女有不良的出生结果（14.3%早产，11.2%低出生体重和7.1%死产）。有早产史或小婴儿史的妇女（AOR: 3.1, 95% CI 1.1- 8.4）更容易早产。同样，早产或小婴儿史（AOR: 8.4, 95% CI 2.4- 29.4）、早产史（AOR: 5.5, 95% CI 2.6- 11.6）和高血压史（AOR: 5.8, 95% CI 1.8- 19.6）是低出生体重的相关因素。产前出血（AOR: 8.43, 95% CI 1.28- 55.34）、高血压（AOR: 9.5, 95% CI 2.1-44.3）、围产期死亡史（AOR: 13.9, 95% CI 3.3- 58.5）和缺乏产前护理随访（AOR: 9.7, 95% CI 2.7 - 35.8）与死产显著相关。不良出生结果（死胎、早产和低出生体重）的发生率很高，仍然是该地区的一个主要公共卫生问题。围产期死亡史、早产或小婴儿、产前出血、缺乏产前护理随访和高血压是不良分娩结局的相关因素。因此，建议进一步加强产前和孕产妇保健以及高血压的早期筛查。
Adverse birth outcomes are major public health problems in developing countries. Data, though scarce in developing countries including Ethiopia, on adverse birth outcomes and the risk factors are important for planning maternal and child health care services. Hence, this study aimed to determine the prevalence and associated factors of adverse birth outcomes among deliveries at Gondar University Hospital, Northwest Ethiopia. Institution based cross-sectional study was conducted in February 2013 at Gondar University Hospital. Data were collected by face-to-face interview of 490 women after verbal informed consent using a pretested and structured questionnaire. Gestational age was determined based on the last normal menstrual period. Birth weight was measured following standards. Multiple logistic regressions were fitted and odds ratios with their 95% confidence interval were computed to identify associated factors. The mean age of women was 26.2 (±5.2 SD) years. HIV infection among laboring women was 4.8%. About 23% of women had adverse birth outcomes (14.3% preterm, 11.2% low birth weight and 7.1% still births). Women having history of either preterm delivery or small baby (AOR: 3.1, 95% CI 1.1- 8.4) were more likely to have preterm births. Similarly, history of delivering preterm or small baby (AOR: 8.4, 95% CI 2.4- 29.4), preterm birth (AOR: 5.5, 95% CI 2.6- 11.6) and hypertension (AOR: 5.8, 95% CI 1.8- 19.6) were associated factors with low birth weight. Ante partum haemorrhage (AOR: 8.43, 95% CI 1.28- 55.34), hypertension (AOR: 9.5, 95% CI 2.1-44.3), history of perinatal death (AOR: 13.9, 95% CI 3.3- 58.5) and lack of antenatal care follow up (AOR: 9.7, 95% CI 2.7 - 35.8) were significantly associated with still birth. Prevalence of adverse birth outcomes (still birth, preterm birth and low birth weight) were high and still a major public health problem in the area. Histories of perinatal death, delivering preterm or small baby, ante partum hemorrhage, lack of ante natal care follow up and hypertension were associated factors with adverse birth outcomes. Thus, further enhancements of ante natal and maternal care and early screening for hypertension are recommended.
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影响因子：
5.4
作者：
Rosenthal, Lisa;Lobel, Marci
通讯作者：
Lobel, Marci
DOI：
10.1590/s0102-311x2010000100019
发表时间：
2010-01-01
期刊：
Cadernos de Saúde Pública
影响因子：
--
作者：
Silveira, Mariângela F.;Victora, Cesar G.;Barros, Fernando C.
通讯作者：
Barros, Fernando C.
影响因子：
4.5
作者：
Andargie G;Berhane Y;Worku A;Kebede Y
通讯作者：
Kebede Y
影响因子：
1.1
作者：
Mokuolu, Olugbenga A.;Suleiman, B. M.;Adeniyi, A.
通讯作者：
Adeniyi, A.
影响因子：
1.5
作者：
Tsimbos, Cleon;Verropoulou, Georgia
通讯作者：
Verropoulou, Georgia