Predictors of perinatal mortality in rural population of Northwest Ethiopia: a prospective longitudinal study.
Predictors of perinatal mortality in rural population of Northwest Ethiopia: a prospective longitudinal study.
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DOI：
10.1186/1471-2458-13-168
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发表时间：
2013-02-23
影响因子：
4.5
通讯作者：
Kebede Y
中科院分区：
文献类型：
--
作者：
Andargie G;Berhane Y;Worku A;Kebede Y
围产期死亡率是发展中国家实现孕产妇和儿童千年发展目标的严重挑战之一。确定其预测因素是制定有重点和适当的卫生干预措施以减少围产期死亡的重要一步。因此，这项研究旨在确定埃塞俄比亚西北部农村地区围产儿死亡率的预测因素。2009年11月至2011年8月，在埃塞俄比亚西北部的达巴特卫生和人口监测点进行了一项前瞻性纵向研究。数据是通过采访符合条件的儿童的母亲或监护人收集的。多元Logistic回归被用来确定潜在的预测因素。共有1752名符合条件的儿童参加了这项研究。研究人群围产儿死亡率为50.22/1000(95%CI：39.99，60.46)。多因素Logistic回归分析显示，既往死产[(AOR = 8.38，95%CI：3.94，17.83)]、双胞胎出生[(AOR = 7.09，95%CI：(3.22，15.61)]、指标孕期未接种破伤风类毒素疫苗[(AOR = 3.62，95%CI：1.57，8.34)]、出生间隔短于24个月[(AOR = 2.58，95%CI：(1.61，4.13)]、母亲不识字[(AOR = 4.83，95%CI：(1.4 5，16.0 5)]和母亲自己创业[(AOR = 5.40，95%CI：1.4 0，2 7.96)]是围产儿死亡风险增加的主要预测因素。研究地区围产儿死亡的预测因素很容易识别，并有可能通过现有的孕产妇健康计划进行预防。需要加紧努力，扩大孕产妇和新生儿保健服务，以大幅降低农村地区的围产儿死亡率。
Perinatal mortality is one of the serious challenges in meeting maternal and child Millennium Development Goals in developing countries. Identifying its predictors is an important step to develop focused and appropriate health interventions for reducing perinatal deaths. This study therefore aims at identifying predictors of perinatal mortality in a rural setting in northwest Ethiopia. A prospective longitudinal study was conducted at Dabat Health and Demographic Surveillance site, northwest Ethiopia, from November 2009 to August 2011. Data were collected by interviewing the mothers or guardians of eligible children. Multiple logistic regressions were employed to identify potential predictors. A total of 1752 eligible children were included in the study. Perinatal mortality rate in the study population was 50.22 per 1000 (95% CI: 39.99, 60.46) total births. In multiple logistic analysis, previous still birth [(AOR = 8.38, 95% CI: 3.94, 17.83)], twin birth [(AOR = 7.09, 95% CI: (3.22, 15.61)], not receiving tetanus toxoid vaccine during the index pregnancy [(AOR = 3.62, 95% CI: 1.57, 8.34)], short birth interval of less than 24 months [(AOR = 2.58, 95% CI: (1.61, 4.13)], maternal illiteracy [(AOR = 4.83, 95% CI: (1.45, 16.05)] and mothers’ running own business [(AOR = 5.40, 95% CI: 1.40, 27.96)] were the main predictors associated with increased risk of perinatal death. Predictors of perinatal death in the study area are easily recognizable and potentially preventable with the existing maternal health programs. Efforts need to be intensified in expanding maternal and newborn health services to significantly reduce perinatal mortality in rural settings.
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作者：
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通讯作者：
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影响因子：
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DOI：
10.1016/0020-7292(95)02319-8
发表时间：
1995-06-01
影响因子：
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作者：
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通讯作者：
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