Perceptions of pregnancy complications in Haiti
Perceptions of pregnancy complications in Haiti
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DOI：
10.1016/j.ijgo.2007.08.005
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发表时间：
2008-02-01
影响因子：
3.8
通讯作者：
Harlow, Sioban D.
中科院分区：
文献类型：
--
作者：
Anderson, Frank W. J.;Naik, Sujata I.;Harlow, Sioban D.
目的：确定妊娠并发症的发生率及相关因素。方法：在一次人口普查中，450 名女性确认自己已怀孕，其中 388 名女性在产后接受了采访。结果：58.6% 报告出现并发症。产后出血是最常见的并发症（42.5%），其次是剧烈疼痛（33.8%）、妊娠期间出血（20.1%）和产后发烧（11.6%）。药房或诊所的产前护理与妊娠期间出血的报告相关（比值比 [OR] 9.06；95% 置信区间 [CI]，1.71-48.00 和 OR 7.58；95% CI，1.53-37.48）。去看医生的女性不太可能报告怀孕期间出血（OR 0.20；95% CI，0.08-0.55）或产后发烧（P=0.015）。草药的使用与报告的怀孕期间出血（OR 2.22；95% CI，1.12-4.40）和剧烈疼痛（OR 1.94；95% CI，1.05-3.58）相关。结论：海地的妊娠并发症发生率很高，并且与获得医疗保健的机会有关。草药的使用与妊娠并发症之间的关联值得研究。 (c) 2007 年国际妇产科联合会。由爱思唯尔爱尔兰有限公司出版。保留所有权利。
Objective: To determine the incidence of perceived pregnancy complications and associated factors. Methods: During a census, 450 women identified themselves as pregnant and 388 were interviewed postpartum. Results: Complications were reported by 58.6%. Bleeding post-delivery was the most frequent complication (42.5%), followed by great pain (33.8%), bleeding during pregnancy (20.1%), and fever post-delivery (11.6%). Prenatal care at either a dispensary or a clinic was associated with reports of bleeding during pregnancy (odds ratio [OR] 9.06; 95% confidence interval [CI], 1.71-48.00 and OR 7.58; 95% CI, 1.53-37.48, respectively). Women who visited a doctor were less likely to report bleeding during pregnancy (OR 0.20; 95% CI, 0.08-0.55) or fever post-delivery (P=0.015). Herb use was associated with reported bleeding during pregnancy (OR 2.22; 95% CI, 1.12-4.40) and great pain (OR 1.94; 95% CI, 1.05-3.58). Conclusion: The perceived pregnancy complication rate in Haiti is high and is associated with access to health care. The association between use of herbs and pregnancy complications warrants investigation. (c) 2007 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.