Women's reports of severe (near-miss) obstetric complications in Benin
Women's reports of severe (near-miss) obstetric complications in Benin
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DOI：
10.1111/j.1728-4465.2000.00309.x
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发表时间：
2000-12-01
影响因子：
2.1
通讯作者：
Santos, P
中科院分区：
文献类型：
--
作者：
Filippi, V;Ronsmans, C;Santos, P
本研究探讨了一种调查工具对产科并发症的有效性。在南贝宁的三家医院回顾性地确定了三组妇女——严重并发症、轻度并发症和正常分娩——并在家中进行了访谈。“险些”的概念被用来确定有严重发病率发作的妇女。该问卷能够在一定程度上准确地检测到子痫发作，在回忆期至少三到四年的妊娠晚期异常出血，以及在两年内独立于时间的所有出血发作。关于难产和生殖道感染的问题产生了令人失望的结果，除非包括治疗信息。总的来说，产前和急性事件取得了更好的结果。严重程度仅在子痫的情况下产生积极的差异，敏感性增加。讨论了在调查中使用妇女回忆产科并发症的结果的含义。
This study examines the validity of a survey instrument on near-miss obstetric complications. Three groups of women-with severe complications, with mild complications, and with a normal delivery-were identified retrospectively in three hospitals in South Benin and interviewed at home. The concept of "near-miss" was used to identify women with severe episodes of morbidity. The questionnaire was able to detect, with some accuracy, eclamptic fits, abnormal bleeding in the third trimester for a recall period of at least three to four years, and all episodes of bleeding independent of timing within a period of two years. Questions concerning dystocia and infections of the genital tract generated disappointing results except when information on treatment was included. Overall, better results were achieved for antepartum and acute events. Severity made a positive difference only in the case of eclampsia, with an increase in sensitivity. The implications of the results for using women's recall of obstetric complications in surveys are discussed.