POOR ANTENATAL CARE AND PREGNANCY OUTCOME

POOR ANTENATAL CARE AND PREGNANCY OUTCOME
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DOI:
10.1016/0028-2243(93)90200-v
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发表时间:
1993-08-01
期刊:
EUROPEAN JOURNAL OF OBSTETRICS GYNECOLOGY AND REPRODUCTIVE BIOLOGY
影响因子:
--
通讯作者:
UZAN, S
UZAN, S
中科院分区:
其他
文献类型:
--
作者:
BLONDEL, B;DUTILH, P;UZAN, S

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目的:了解接受不良产前护理的妇女的特征,并评估其围产期风险。设计:计算机化数据。环境:巴黎公立医院环境(1987-1990)。与法兰西岛地区代表性样本的比较(n = 6423)。方法:对就诊少于3次的不良随访者(n = 210)与就诊3次及以上的良好随访者(n = 563)进行比较。结果:护理不良者年龄较小,围产期死亡率(4.7%)、早产率(优势比5.2:4.3-6.3)和低出生体重率(优势比4.6:3.7-5.6)较高。结论:产前护理不良的妇女发生不良妊娠结局的风险较大。这种危险不能仅仅归因于不利的生活条件。
Objectives: To characterize women receiving poor antenatal care and assess their perinatal risk. Design: Computerized data. Setting: Public hospital setting Paris (1987-1990). Comparison with representative sample in Ile-de-France region (n = 6423). Methods: Poor attenders with less than 3 visits (n = 210) were compared with good attenders with 3 visits or more (n = 563 1). Results: Poor attenders were younger and had higher rates of perinatal mortality (4.7%), preterm delivery (Odds ratio 5.2:4.3-6.3) and low birth weight (Odds ratio 4.6:3.7-5.6). Conclusion: Women with poor antenatal care have a greater risk for adverse pregnancy outcome. This risk cannot be attributed to unfavourable living conditions only.