The hazard of pregnancy loss and stillbirth among women in Kersa, East Ethiopia: A follow up study
The hazard of pregnancy loss and stillbirth among women in Kersa, East Ethiopia: A follow up study
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DOI：
10.1016/j.srhc.2012.06.002
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发表时间：
2012-10-01
影响因子：
1.8
通讯作者：
Tsui, Amy
中科院分区：
文献类型：
--
作者：
Assefa, Nega;Berhane, Yemane;Tsui, Amy
背景资料：虽然流产对妇女健康造成相当大的挑战，但在低收入国家，农村地区基于人口的研究并不普遍。本研究的目的是确定在农村communityofEthiopia.Methodology的怀孕损失和相关因素的危害：一个前瞻性的社区为基础的研究进行了为期1年。通过妊娠尿试验尽早确定妊娠。在筛选期间确定的所有孕妇在家中接受随访，直至终止妊娠或分娩新生儿。总的随访时间为7802个“妊娠人月”。结果：在1438例终止妊娠的孕妇中，143例（9.9%）未终止活产，116例因出血终止妊娠，27例为死产。虽然妊娠间隔两年或两年以上的妇女流产的风险较低[AHR 0.3（95%CI：0.15，0.43）]，在计划外妊娠的妇女中较高[AHR 2.2（95%CI：1.56，3.11）]，在首次妊娠期间主诉STI样症状的患者中[AHR 4.5（95%CI：2.79，7.38）]和从未接受过产前保健的妇女[AHR 1.8（95% CI：1.13，2.73）]。在经历过意外怀孕的妇女中，建议：为了减少埃塞俄比亚农村地区的流产，有必要扩大和促进计划生育、产前服务和其他生殖保健的使用。(C)2012爱思唯尔有限公司版权所有。
Background: Although pregnancy loss causes considerable challenge to women's health, population-based studies in rural areas are not widely available in low-income countries. This study aims to determine the hazard of pregnancy loss and related factors in the rural communities of Ethiopia.Methodology: A prospective community-based study was conducted over a period of 1 year. Pregnancy was identified as early as possible by a pregnancy urine test. All pregnant women identified during the screening were followed up at their home until termination of pregnancy or delivery of the neonate. The total follow-up time was 7802 'pregnant person months'. A Cox regression analysis was done to estimate the hazard of pregnancy loss.Result: Out of a total of 1438 terminated pregnancies, 143 (9.9%) did not end in live birth, 116 ended due to bleeding and 27 were stillbirths. Whilst the hazard of pregnancy loss was low among women with pregnancy interval of two or more years [AHR 0.3 (95% CI: 0.15, 0.43)], it was high among women having unplanned pregnancy [AHR 2.2 (95% CI: 1.56, 3.11)], among those who complained STI like symptoms during the index pregnancy [AHR 4.5(95% CI: 2.79, 7.38)] and among those never received antenatal care [AHR 1.8 (95% CI: 1.13, 2.73)].Conclusion: Pregnancy loss was higher amongst women experienced unplanned pregnancy, complained STI like symptoms and women who had not attended antenatal care services.Recommendation: To reduce pregnancy loss in rural Ethiopia expanding and promoting the use of family planning, antenatal services and other reproductive health care is necessary. (C) 2012 Elsevier B.V. All rights reserved.