Grand multiparity as a predictor of adverse pregnancy outcome among women who delivered at a tertiary hospital in Northern Tanzania
Grand multiparity as a predictor of adverse pregnancy outcome among women who delivered at a tertiary hospital in Northern Tanzania
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DOI：
10.1186/s12884-019-2377-5
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发表时间：
2019-07-02
影响因子：
3.1
通讯作者：
Mchome, Bariki
中科院分区：
文献类型：
--
作者：
Muniro, Zainab;Tarimo, Clifford Silver;Mchome, Bariki
大多胎与不良妊娠结局的风险增加有关，如产后出血、妊娠高血压、妊娠糖尿病和围产期死亡率高。关于坦桑尼亚高胎次对妊娠结局的影响的信息有限。本研究旨在确定坦桑尼亚北部一家三级医院大多胎的患病率、趋势和相关的不良妊娠结局。方法在乞力马扎罗山基督教医学中心（KCMC）进行回顾性横断面研究，使用医学出生登记的产妇关联数据。对2006 - 2014年单胎分娩妇女进行分析。以比例计算大多胎的流行率，以估计多年来的趋势。使用多变量logistic回归模型估计与大多胎相关的不良妊娠结局。的p值
BackgroundGrand multiparity has been associated with increased risks of adverse pregnancy outcomes such as post-partum hemorrhage,gestational hypertension, gestationaldiabetes mellitus and high perinatal mortality.There is limited information about the impact of high parity on pregnancy outcomes in Tanzania. This study aimed to determine prevalence, trend and associated adverse pregnancy outcomes of grand multiparity in a tertiary hospital in Northern Tanzania.MethodsA retrospective cross-sectional study was conducted at Kilimanjaro Christian Medical Centre (KCMC) using maternally linked data from medical birth registry. Women with singleton deliveries from 2006 to 2014 were analyzed. The prevalence of grand-multiparity was computed as proportion to estimate the trend over years. Adverse pregnancy outcomes associated with grand multiparity were estimated using multivariable logistic regression models. A p-value of